Individual
KELLY MOWRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10700 BALLANTRAYE DR, SUITE 102, FREDERICKSBURG, VA 22407-4700
(540) 720-2261
(540) 720-5660
Mailing address
10700 BALLANTRAYE DR, SUITE 102, FREDERICKSBURG, VA 22407-4700
(540) 720-2261
(540) 720-5660
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007905
VA
Other
Enumeration date
07/19/2015
Last updated
07/19/2015
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