Individual
MRS. LACY WATSON GOMOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS.,CCC-SLP
Contact information
Practice address
3620 CALVERTON WAY, CHESAPEAKE, VA 23321-4463
(757) 484-9320
Mailing address
3620 CALVERTON WAY, CHESAPEAKE, VA 23321-4463
(757) 484-9320
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004157
VA
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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