Individual
NICOLE LEGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8348 TRAFORD LN STE 200, SPRINGFIELD, VA 22152-1650
(703) 569-7500
Mailing address
8348 TRAFORD LN STE 200, SPRINGFIELD, VA 22152-1650
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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