Individual
JENNIFER SUZANNE CASTILLEJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
6325 CIDER BARREL CIR, CENTREVILLE, VA 20121-5602
(703) 887-6296
Mailing address
6325 CIDER BARREL CIR, CENTREVILLE, VA 20121-5602
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005494
VA
Other
Enumeration date
03/20/2016
Last updated
03/20/2016
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