Individual
MRS. KRISTEN LOVE DESTINY CHARNOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
23296 COURTHOUSE AVE, ACCOMAC, VA 23301
(757) 787-5754
Mailing address
31053 CONQUEST FARM LN, HALLWOOD, VA 23359-2662
(757) 894-7043
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202009371
VA
Other
Enumeration date
09/09/2021
Last updated
10/29/2025
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