Individual
JILL DIANA FUERST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED. CCC-SLP
Contact information
Practice address
12131 RICHLAND DR, CATHARPIN, VA 20143-1102
(703) 298-3858
Mailing address
12131 RICHLAND DR, CATHARPIN, VA 20143-1102
(703) 298-3858
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007399
VA
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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