Individual
SHELBY CELINE CLUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23352 COURTHOUSE HWY, WINDSOR, VA 23487-5333
(703) 209-8992
Mailing address
201 W TAZEWELL ST, NORFOLK, VA 23510-1315
(703) 209-8992
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22040000520
LICENSE
VA
Enumeration date
06/16/2020
Last updated
11/27/2023
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