Individual
CAROL LORRAINE WESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
9685 MAIN ST STE B, FAIRFAX, VA 22031-3752
(703) 978-8400
Mailing address
9685 MAIN ST STE B, FAIRFAX, VA 22031-3752
(703) 978-8400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202002289
VA
Other
Enumeration date
09/22/2008
Last updated
09/22/2008
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