Individual
JANICE MARIE MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
8909 EUCLID AVE, MANASSAS, VA 20111-2404
(703) 365-6500
Mailing address
9318 FLANAGAN CT, MANASSAS, VA 20110-8902
(703) 623-8714
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007796
VA
Other
Enumeration date
03/02/2018
Last updated
03/17/2018
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