Individual
JILL BEADLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1426 N QUINCY ST, ARLINGTON, VA 22207-3646
(703) 228-6000
Mailing address
6407 WYNGATE DR, SPRINGFIELD, VA 22152-2804
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008817
VA
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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