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Individual

ANGELA MARIE ANKLAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.,CCC-SLP

Contact information

Practice address
1739 KIRBY RD, MC LEAN, VA 22101-4817
(703) 536-4344
Mailing address
604 UTTERBACK STORE RD, GREAT FALLS, VA 22066-3328
(703) 626-4001

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008950
VA

Other

Enumeration date
08/08/2018
Last updated
08/08/2018
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