Individual
ELEANOR JACQUELYN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
300 PARK HILL DR, FREDERICKSBURG, VA 22401-3387
(540) 368-7300
Mailing address
1601 ASHFORD CIR APT 307, FREDERICKSBURG, VA 22401-5067
(972) 935-7435
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008849
VA
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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