Individual
MARTHA NEWELL DEBORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 N BRUFFEY ST, SALEM, VA 24153-2517
(540) 387-2503
Mailing address
520 N BRUFFEY ST, SALEM, VA 24153-2517
(540) 387-2503
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202002970
VA
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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