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Individual

LAURA DEHART BUZZARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
2875 BARN RD, SUITE 100, CHRISTIANSBURG, VA 24073-6389
(540) 639-5786
(540) 633-0787
Mailing address
2875 BARN RD, SUITE 100, CHRISTIANSBURG, VA 24073-6389
(540) 639-5786
(540) 633-0787

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006111
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
496604
VA
Enumeration date
06/07/2012
Last updated
06/07/2012
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