Individual
MR. CHUKUSOM BENSON EKERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15933 CANADA GOOSE LOOP, WOODBRIDGE, VA 22191-5562
(571) 572-8488
Mailing address
15933 CANADA GOOSE LOOP, WOODBRIDGE, VA 22191-5562
(571) 572-8488
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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