Individual
KIERRA DASHE ATWATER VILLINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS. CCC-SLP
Contact information
Practice address
711 GEMSTONE LN, VIRGINIA BEACH, VA 23462-1189
(919) 636-8356
Mailing address
711 GEMSTONE LN, VIRGINIA BEACH, VA 23462-1189
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008167
VA
235Z00000X
Speech-Language Pathologist
SLP000968
DC
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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