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1710488408
TIA CORNWALL
ROANOKE, VA
NPI
1710488408
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: VA 0813000857)
Enumeration Date
2018-02-27
Last Update Date
2018-02-27
Business Address
TIA CORNWALL
40 DOUGLAS AVE NW
ROANOKE, VA 24012-4611
Phone number: 540-853-2466
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Mailing Address
TIA CORNWALL
40 DOUGLAS AVE NW
ROANOKE, VA 24012-4611
Phone number: 540-853-2466
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