Individual
MRS. TERESA DOTSON PROKUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
5109 ESSEX CT, WILLIAMSBURG, VA 23188-8121
(757) 812-9402
Mailing address
5109 ESSEX CT, WILLIAMSBURG, VA 23188-8121
(757) 812-9402
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005371
VA
Other
Enumeration date
01/30/2013
Last updated
01/30/2013
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