Individual
MRS. SIMONA ENRICA BETTINESCHI MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
8605 CENTREVILLE RD, MANASSAS, VA 20110
(703) 257-0935
Mailing address
8605 CENTREVILLE RD, MANASSAS, VA 20110
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006697
VA
Other
Enumeration date
02/22/2014
Last updated
06/09/2015
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