Individual
ERICA RAE HANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
361 WALNUT ST, WARSAW, VA 22572-4341
(804) 333-3510
Mailing address
2915 WELLFORDS WHARF RD, WARSAW, VA 22572-3666
(609) 847-9509
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2203000645
VA
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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