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Individual

MRS. LISA MICHELLE EICKEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S. CCC-SLP

Contact information

Practice address
6506 LOISDALE RD, SUITE 300, SPRINGFIELD, VA 22150-1824
(703) 924-4100
(703) 922-5048
Mailing address
6506 LOISDALE RD, SUITE 300, SPRINGFIELD, VA 22150-1824
(703) 924-4100
(703) 922-5048

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006017
VA

Other

Enumeration date
05/25/2010
Last updated
04/10/2013
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