Individual
KIMBERLEIGH JENNIFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7109 ROCK RIDGE LN APT I, ALEXANDRIA, VA 22315-5141
(703) 417-9669
Mailing address
7109 ROCK RIDGE LN APT I, ALEXANDRIA, VA 22315-5141
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
06794
MD
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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