Individual
KACIE MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
2008 GENERAL BOOTH BLVD STE B, VIRGINIA BEACH, VA 23454-5910
(757) 301-2411
(888) 966-0621
Mailing address
2424 SEVEN KINGS RD, VIRGINIA BEACH, VA 23456-7824
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202010383
VA
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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