Individual
VERONICA KLOCKO WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC/SLP
Contact information
Practice address
10605 CONCORD ST, SUITE 102, KENSINGTON, MD 20895-2504
(917) 841-6608
Mailing address
927 FARRAGUT ST NW, WASHINGTON, DC 20011-3942
(202) 483-2122
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
05701
MD
Other
Enumeration date
09/29/2012
Last updated
09/29/2012
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