Individual
JACQUELYN KELLY LAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 GLEASON DR, COVINGTON, VA 24426-6246
(540) 863-1740
Mailing address
100 GLEASON DR, COVINGTON, VA 24426-6246
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007552
VA
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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