Individual
AMIE LYNN RUSSIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
VA
Contact information
Practice address
8270 WILLOW OAKS CORPORATE DR OFC, FAIRFAX, VA 22031-4511
(703) 802-5000
Mailing address
8270 WILLOW OAKS CORPORATE DR OFC, FAIRFAX, VA 22031-4511
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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