Individual
MARCIANNE KRISTOF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6901 SHARPSBURG DR, CENTREVILLE, VA 20121-2519
(412) 377-0253
Mailing address
6901 SHARPSBURG DR, CENTREVILLE, VA 20121-2519
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202009657
VA
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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