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Individual

EMILY ANNE BOURNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S. CC-SLP

Contact information

Practice address
3300 RIVERMONT AVE, LYNCHBURG, VA 24503-2030
(434) 200-3000
Mailing address
3300 RIVERMONT AVE, LYNCHBURG, VA 24503-2030
(434) 200-3000

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204000952
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2204000952
SLP LICENSE
VA
Enumeration date
06/07/2022
Last updated
05/23/2024
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