Individual
RACHEL MICHELE MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7648 MCGAHEYSVILLE RD, PENN LAIRD, VA 22846-9779
(540) 289-3401
Mailing address
714 PARKVIEW AVE, STAUNTON, VA 24401-2018
(678) 412-5220
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204000482
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2204000482
BOARD OF AUDIOLOGY AND SPEECH LANGUAGE PATHOLOGY
VA
Enumeration date
09/25/2020
Last updated
09/25/2020
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