Individual
MRS. MARY KAY YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
6455 WHITES MILL LANE, WARRENTON, VA 20187
(540) 222-4313
Mailing address
6455 WHITES MILL LANE, WARRENTON, VA 20187
(540) 222-4313
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202003536
VA
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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