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Individual

KRISTIN WALLNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A. CCC-SLP

Contact information

Practice address
203 LOUDOUN ST SW, LEESBURG, VA 20175-2722
(571) 319-3347
Mailing address
20349 HARTWELL ST, ASHBURN, VA 20147-3635
(703) 723-8352

Taxonomy

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

Other

Enumeration date
06/15/2017
Last updated
07/21/2022
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