Individual
MADISON WOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
350 VAN PELT CIR, BRISTOL, VA 24201-1896
(276) 298-5829
Mailing address
350 VAN PELT CIR, BRISTOL, VA 24201-1896
(276) 298-5829
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204001369
VA
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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