Individual
BRITTANY LEIGH MAMMUCARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
200 EXECUTIVE CENTER PKWY STE 106, FREDERICKSBURG, VA 22401-3177
(540) 446-2654
Mailing address
4307 BRIDLEPATH CT, FREDERICKSBURG, VA 22408-8815
(609) 922-6157
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008753
VA
Other
Enumeration date
09/01/2017
Last updated
09/01/2017
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