Individual
JORDAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8270 WILLOW OAKS CO DR, FAIRFAX, VA 22031-4530
(703) 426-1112
Mailing address
8270 WILLOW OAKS CO DR, FAIRFAX, VA 22031-4530
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
14306544
—
235Z00000X
Speech-Language Pathologist
Primary
2202010180
VA
Other
Enumeration date
06/22/2020
Last updated
01/10/2022
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