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Individual

LISA RUBIN BULL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
1604 SPRING HILL RD, SUITE 310, VIENNA, VA 22182-7510
(703) 546-8594
Mailing address
2500 TALLYRAND CT, HERNDON, VA 20171-2700
(703) 925-0118
(703) 925-0118

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202002478
VA

Other

Enumeration date
07/19/2010
Last updated
07/19/2010
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