Individual
SOO JIN LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
4370 BROWN ROAN LN, ROCKINGHAM, VA 22801-8311
(918) 946-6539
Mailing address
4370 BROWN ROAN LN, ROCKINGHAM, VA 22801-8311
(918) 946-6539
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008432
VA
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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