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Individual

EFFRAT P OFFENBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A. CCC-SLP

Contact information

Practice address
14411 JUSTICE RD STE C, MIDLOTHIAN, VA 23113-6907
(804) 794-7337
Mailing address
127 N ROSE BLVD APT 2, AKRON, OH 44302-1060
(908) 208-9328

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2202008390
VA
235Z00000X
Speech-Language Pathologist
Primary
COND 2013318
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2202008390
VA SLP LICENSE
VA
Enumeration date
03/11/2014
Last updated
02/28/2023
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