Individual
ALISA E JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
6506 LOISDALE RD, SUITE 302, SPRINGFIELD, VA 22150-1824
(703) 924-4100
Mailing address
723 S FAYETTE ST, ALEXANDRIA, VA 22314-3905
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006516
VA
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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