Individual
JESSICA DARCEL FAISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4410 CLAIBORNE SQ E STE 218, HAMPTON, VA 23666-2071
(757) 871-5558
Mailing address
4410 CLAIBORNE SQ E STE 218, HAMPTON, VA 23666-2071
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202009452
VA
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/01/2018
Last updated
08/15/2024
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