Individual
JOHANNA SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8229 BOONE BLVD STE 660, VIENNA, VA 22182-2657
(703) 821-1363
Mailing address
8229 BOONE BLVD STE 660, VIENNA, VA 22182-2657
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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