Individual
KIMBERLY DENISE NAHOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
4310 FOREST HILL DR, FAIRFAX, VA 22030-5680
(703) 278-1001
Mailing address
3507 SCHUERMAN HOUSE DR, FAIRFAX, VA 22031-4728
(850) 543-3292
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202002681
VA
Other
Enumeration date
01/02/2022
Last updated
01/02/2022
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