Individual
ELIZABETH J CHOUINARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14715 BRISTOW RD, MANASSAS, VA 20112-3945
(571) 598-3500
Mailing address
13701 JABIELLE TER, BRISTOW, VA 20136-8700
(703) 754-5925
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004092
VA
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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