Individual
CHERYL CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15812 HAMPTON GLEN PL, CHESTERFIELD, VA 23832-1963
(320) 250-9419
Mailing address
15812 HAMPTON GLEN PL, CHESTERFIELD, VA 23832-1963
(320) 250-9419
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PPS-0602151
VA
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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