Individual
CAROLYN MARIE DECREDICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4840 WALLER RD STE 200, RICHMOND, VA 23230-2912
(804) 893-5010
Mailing address
523 BEL CREST TER, MIDLOTHIAN, VA 23113-6491
(203) 908-5862
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202010427
VA
Other
Enumeration date
06/08/2021
Last updated
11/25/2024
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