Individual
JUANITA WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 MARINER LN, WOODBRIDGE, VA 22192-2331
(703) 491-2108
Mailing address
14715 BRISTOW RD, MANASSAS, VA 20112-3945
(703) 791-7200
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008060
VA
Other
Enumeration date
02/27/2018
Last updated
03/17/2018
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