Individual
LYNN GREENE KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5980 RADIO STATION RD, LA PLATA, MD 20646-3337
(703) 922-9642
Mailing address
7818 WELCH CT, ALEXANDRIA, VA 22315-4047
(703) 975-3170
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
06511
MD
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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