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Individual

MS. AUDREY K DAVIS

Active
Sole proprietor
Yes

Provider details

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

Contact information

Practice address
1009 OLD COUNTRY CLUB RD NW, ROANOKE, VA 24017-2927
(540) 767-6800
Mailing address
83 TIMBERLINE DR, BLUE RIDGE, VA 24064-1601
(540) 525-3260

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
01105990
235Z00000X
Speech-Language Pathologist
Primary
2202002584
VA
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
12/29/2010
Last updated
10/21/2024
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