Individual
DEANA CARRICO CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.CCC/SLP
Contact information
Practice address
2323 FAIRVIEW RD, GALAX, VA 24333-3152
(276) 236-2365
Mailing address
2323 FAIRVIEW RD, GALAX, VA 24333-3152
(276) 236-2365
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202002865
VA
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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