Individual
ELIZABETH HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4720 ROUGE CT, ALEXANDRIA, VA 22312-1613
(334) 315-8426
Mailing address
4720 ROUGE CT, ALEXANDRIA, VA 22312-1613
(334) 315-8426
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP010239
GA
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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