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Active
Organization subpart
No

Provider details

NPI number
Authorized official
SIMONE HARDAWAY M.A., CCC-SLP (OWNER)
(443) 435-7060
Entity
Organization

Contact information

Practice address
233 ISLAND COVE CT, APT. B, HAMPTON, VA 23669-5609
(443) 435-7060
Mailing address
233 ISLAND COVE CT, APT. B, HAMPTON, VA 23669-5609
(443) 435-7060

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007494
VA

Other

Enumeration date
10/19/2016
Last updated
04/03/2017
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