Individual
MRS. KAREN A FACKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2765 JEFFERSON DAVIS HWY, STAFFORD, VA 22554-8331
(540) 720-2261
(540) 720-5660
Mailing address
6165 FULLER CT, ALEXANDRIA, VA 22310-2541
(540) 720-2261
(540) 720-5660
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005907
VA
Other
Enumeration date
10/21/2009
Last updated
07/10/2013
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