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Individual

STACY WELSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8348 TRAFORD LN, SUITE 200, SPRINGFIELD, VA 22152-1663
(703) 569-7500
(703) 866-0158
Mailing address
22923 GOLDENROD DR, BRAMBLETON, VA 20148-6968
(703) 327-3575

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202003904
VA

Other

Enumeration date
02/08/2007
Last updated
07/08/2007
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