Individual
ERICA VANNOY CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 S INDEPENDENCE AVE, INDEPENDENCE, VA 24348-3972
(276) 773-0303
Mailing address
400 S INDEPENDENCE AVE, INDEPENDENCE, VA 24348-3972
(828) 386-7619
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
10670
NC
235Z00000X
Speech-Language Pathologist
Primary
2202006900
VA
Other
Enumeration date
01/31/2013
Last updated
03/30/2017
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