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Individual

MRS. KENDIS RESPESS MCADEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
5015 LEE HWY, ARLINGTON, VA 22207-2532
(703) 623-1806
Mailing address
8409 IDYLWOOD RD, VIENNA, VA 22182-5174
(703) 975-1530

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202003345
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12014126
ASHA
VA
01
2202003345
VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS
VA
Enumeration date
12/05/2012
Last updated
12/05/2012
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