Individual
SAMARA YALISOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 CONNECTICUT AVE NW # 100, WASHINGTON, DC 20008-4530
(202) 525-1641
Mailing address
2518 12TH ST NW, WASHINGTON, DC 20009-5204
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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