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Individual

KHOJISTHA AZIZI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
100 WOOD DR, STAFFORD, VA 22556-1838
(570) 878-8070
Mailing address
10321 WATFORD LN, FREDERICKSBURG, VA 22408-0283

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2202011234
VA
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
07/26/2022
Last updated
01/19/2024
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