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Individual

JESSICA LANCASTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CFY-SLP

Contact information

Practice address
4550 SHENANDOAH AVE NW, ROANOKE, VA 24017-4749
(540) 982-4602
Mailing address
4550 SHENANDOAH AVE NW, ROANOKE, VA 24017-4749

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006315
VA

Other

Enumeration date
07/07/2011
Last updated
07/07/2011
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