Individual
KRISTEN JEANNE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12400 KNIGHTSBRIDGE DR, WOODBRIDGE, VA 22192-5190
(703) 590-3711
Mailing address
3747 TONBRIDGE PL, LAKE RIDGE, VA 22192-7469
(703) 745-2514
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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