Individual
SHARON D RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, SLP
Contact information
Practice address
880 READING RD, CHRISTIANSBURG, VA 24073-5327
(276) 613-1188
Mailing address
880 READING RD, CHRISTIANSBURG, VA 24073-5327
(276) 613-1188
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006774
VA
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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