Individual
ASHTON MARIE WILKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
14715 BRISTOW RD, MANASSAS, VA 20112-3945
(703) 791-7200
Mailing address
14715 BRISTOW RD, MANASSAS, VA 20112-3945
(703) 791-7200
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204000849
VA
Other
Enumeration date
12/02/2021
Last updated
08/03/2023
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