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Individual

MS. ELIZABETH JOYCE CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
41535 SACRED MOUNTAIN ST, ALDIE, VA 20105-5533
(703) 722-2680
Mailing address
20970 PROMONTORY SQ, STERLING, VA 20165-7211
(571) 388-8045

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202002009
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01081859
AMERICAN SPEECH LANGUAGE HEARING ASSOCIATION
01
2202002009
DEPARTMENT OF HEALTH PROFESSIONS
VA
Enumeration date
03/23/2018
Last updated
03/23/2018
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