Individual
AMY LARRABURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2715 DOGTOWN RD, GOOCHLAND, VA 23063-2424
(804) 556-4418
Mailing address
2715 DOGTOWN RD, GOOCHLAND, VA 23063-2424
(804) 556-4418
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007144
VA
Other
Enumeration date
05/27/2016
Last updated
05/27/2016
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