Individual
BETHIANA MAGALLANES WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
14450 BROOK DR, WOODBRIDGE, VA 22193
(571) 589-2867
Mailing address
8009 LAKE PLEASANT DR, SPRINGFIELD, VA 22153-3005
(805) 844-4758
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/09/2018
Last updated
08/28/2019
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