Individual
JESSICA SCHWAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3750 OLD LEE HWY, FAIRFAX, VA 22030-1806
(703) 246-7120
(703) 246-5317
Mailing address
8531 ENOCHS DR, LORTON, VA 22079-1336
(571) 201-0400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004805
VA
Other
Enumeration date
02/13/2007
Last updated
02/01/2008
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