Individual
MRS. CAROLYN F. VARGAS-JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
3417 SEVEN OAKS RD, MIDLOTHIAN, VA 23112-4261
(804) 822-1941
Mailing address
PO BOX 52, FARMVILLE, VA 23901-0052
(774) 218-9438
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005711
VA
Other
Enumeration date
05/05/2015
Last updated
08/25/2016
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