Individual
MS. AUBREE JONELLE SURRENCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(631) 219-9940
Mailing address
2705A FLOYD AVE, RICHMOND, VA 23220-4306
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202009523
VA
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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