Individual
SANDRA O SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 LORRAINE AVE, FREDERICKSBURG, VA 22408-1929
(540) 898-1514
(540) 898-8571
Mailing address
400 LORRAINE AVE, FREDERICKSBURG, VA 22408-1929
(540) 898-1514
(540) 898-8571
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007548
VA
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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