Individual
ELISABETH OBANDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
248 STEVENSON SQ, ALEXANDRIA, VA 22304-3510
(817) 659-8969
Mailing address
248 STEVENSON SQ, ALEXANDRIA, VA 22304-3510
(817) 659-8969
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP001053
DC
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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