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Individual

MRS. MARY RENEE BIEGUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
1400 FORDHAM DR, VIRGINIA BEACH, VA 23464-5368
(757) 361-3954
Mailing address
718 GLADESDALE DR, CHESAPEAKE, VA 23322-7751
(757) 482-9947

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202002753
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4980701
VA
Enumeration date
07/26/2006
Last updated
07/08/2007
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