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KIRNETTA TRINEICE PITTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
13199 KERRYDALE RD, WOODBRIDGE, VA 22193-5015
(703) 590-1262
Mailing address
2264 YORK DR APT 203, WOODBRIDGE, VA 22191-5718

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204000311
VA

Other

Enumeration date
08/22/2019
Last updated
08/22/2019
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