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Individual

ABBY MARIE KEO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S. CCC - SLP

Contact information

Practice address
1026 CROMWELL BRIDGE RD, TOWSON, MD 21286-3318
(410) 583-1515
Mailing address
9907 KINGSBRIDGE DR, FAIRFAX, VA 22031-1695
(703) 774-4501

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007857
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2202007857
VIRGINIA BOARD OF SPEECH-LANGUAGE PATHOLOGY
VA
Enumeration date
06/04/2015
Last updated
04/17/2017
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