Individual
MRS. NANCY WEAKLEY WANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 MONCURE LN, STAFFORD, VA 22556-4621
(540) 658-6300
Mailing address
1011 ATLANTIC DR, STAFFORD, VA 22554-2107
(540) 659-9384
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202001267
VA
Other
Enumeration date
03/22/2018
Last updated
06/16/2018
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