Individual
MRS. SHAUN CAROLE BARRETT-VIGILANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
6044 MAINSAIL LN, SUFFOLK, VA 23435-3544
(757) 484-4522
Mailing address
6044 MAINSAIL LN, SUFFOLK, VA 23435-3544
(757) 484-4522
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005187
VA
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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