Individual
DR. LISA MIESKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1970 ROANOKE BLVD # A116A6, SALEM, VA 24153-6404
(540) 982-2463
Mailing address
1970 ROANOKE BLVD # 116A6, SALEM, VA 24153-6404
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810007568
VA
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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