Individual
MRS. LAURA JAVONILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
6214 SANDSTONE WAY, CLIFTON, VA 20124-2438
(571) 212-6345
Mailing address
6214 SANDSTONE WAY, CLIFTON, VA 20124-2438
(571) 212-6345
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004021
VA
Other
Enumeration date
07/01/2009
Last updated
07/01/2009
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