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Individual

DOROTHY C. GASPARD-ST. CYR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
2604 JEFFERSON DAVIS HWY, STAFFORD, VA 22554-5011
(540) 720-2261
Mailing address
32 CHADWICK DR, STAFFORD, VA 22556-4622
(540) 720-2261

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004913
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
299916
BS029
VA
01
299917
BS029
VA
Enumeration date
08/05/2007
Last updated
08/05/2007
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