Individual
ELIZABETH HEATHER CONGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6688 MAIN ST, GLOUCESTER, VA 23061-5194
(804) 210-1555
Mailing address
PO BOX 209, GWYNN, VA 23066-0209
(757) 647-7700
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006779
VA
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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