Individual
LISA MILTON WRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 BERNARD RD, ROCKY MOUNT, VA 24151-6614
(540) 483-5138
Mailing address
44 ACORN RD, ROCKY MOUNT, VA 24151-5378
(530) 484-3117
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007728
VA
Other
Enumeration date
11/07/2017
Last updated
11/07/2017
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