Individual
SHANNON NICOLE MALONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8270 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4530
(571) 423-4900
Mailing address
8270 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4530
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2203000913
VA
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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