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Individual

MRS. VALERIE MAE RAVENSCROFT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
25701 SHADY LN SW, WESTERNPORT, MD 21562
(301) 359-3000
Mailing address
17138 KNOBLEY RD, BURLINGTON, WV 26710-7478
(304) 216-6528

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
05284
MD
235Z00000X
Speech-Language Pathologist
1068
WV

Other

Enumeration date
11/08/2006
Last updated
03/20/2019
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