Individual
MRS. MIRANDA GIVENS GUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
935 FAIRYSTONE PARK HWY, STANLEYTOWN, VA 24168-3014
(276) 622-3636
(276) 627-0060
Mailing address
935 FAIRYSTONE PARK HWY, STANLEYTOWN, VA 24168-3014
(276) 622-3636
(276) 627-0060
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008563
VA
235Z00000X
Speech-Language Pathologist
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Other
Enumeration date
06/05/2018
Last updated
08/25/2022
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