Individual
SHEARIN LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 HOLBROOK AVE, DANVILLE, VA 24541-2408
(434) 489-8832
Mailing address
150 HOLBROOK AVE, DANVILLE, VA 24541-2408
(434) 489-8832
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202002832
VA
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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