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Individual

MS. LAURA MARIE WHALEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS CCC/SLP

Contact information

Practice address
6800 LUCY CORR BLVD., ATTN: REHAB DEPT., CHESTERFIELD, VA 23823
(804) 748-1511
Mailing address
2357 LOCH BRAEMAR DRIVE, NORTH CHESTERFIELD, VA 23236
(304) 419-0500

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
1270
WV
235Z00000X
Speech-Language Pathologist
Primary
2202008106
VA

Other

Enumeration date
09/07/2011
Last updated
05/16/2016
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