Individual
MRS. ROSE MARIE CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
102 REBECCA DR, WINCHESTER, VA 22602-7626
(361) 876-1887
Mailing address
102 REBECCA DR, WINCHESTER, VA 22602-7626
(361) 876-1887
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006534
VA
Other
Enumeration date
05/13/2012
Last updated
05/13/2012
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