Individual
MRS. RYAN FULTON STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
725 JACKSON ST, SUITE 218, FREDERICKSBURG, VA 22401-5761
(540) 693-0527
Mailing address
1305 BOULDER CREEK RD, RICHMOND, VA 23225-4165
(804) 385-1197
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004062
VA
Other
Enumeration date
07/20/2012
Last updated
07/20/2012
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