Individual
CRYSTAL JOSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15484 ANN ARDEN AVE, WOODBRIDGE, VA 22193-3395
(757) 647-3986
Mailing address
15484 ANN ARDEN AVE, WOODBRIDGE, VA 22193-3395
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005435
VA
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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