Individual
MADISON ASHLEE SUNDERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11150 FAIRFAX BLVD STE 500, FAIRFAX, VA 22030-5029
(201) 983-9881
Mailing address
14148 SNICKERSVILLE DR, GAINESVILLE, VA 20155-4451
(703) 232-8679
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204000467
VA
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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