Individual
MRS. ELLEN JULIE KNOWLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
9118 DONNA DEAN DR, SPRINGFIELD, VA 22153-1420
(703) 912-4805
Mailing address
9118 DONNA DEAN DR, SPRINGFIELD, VA 22153
(703) 912-4805
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005625
VA
Other
Enumeration date
04/08/2010
Last updated
04/08/2010
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