Individual
MRS. MARY BETH SLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. A. CCC-A
Contact information
Practice address
3036 GRAHAM ROAD, GRAHAM ROAD COMMUNITY BUILDING, FALLS CHURCH, VA 22042
(571) 982-1511
Mailing address
3036 GRAHAM ROAD, GRAHAM ROAD COMMUNITY BUILDING, FALLS CHURCH, VA 22042
(571) 982-1511
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2201001206
VA
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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