Individual
KEENAN PAIGE GLAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
44135 WOODRIDGE PKWY STE 260, LANSDOWNE, VA 20176-1244
(571) 244-0316
Mailing address
46413 ESTERBROOK CIR, STERLING, VA 20165-7733
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004993
VA
Other
Enumeration date
08/14/2017
Last updated
08/14/2017
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