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Individual

ISABEL M LAWRENCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
1200 N NASH ST APT 261, ARLINGTON, VA 22209-3620
(505) 660-4801
Mailing address
1200 N NASH ST APT 261, ARLINGTON, VA 22209-3620
(505) 660-4801

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
011277
NY
235Z00000X
Speech-Language Pathologist
09277
MD
235Z00000X
Speech-Language Pathologist
2202005639
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09277
SPEECH PATHOLOGY STATE LICENSURE
MD
01
2202005639
STATE LICENSURE
VA
Enumeration date
04/11/2007
Last updated
11/09/2019
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