Individual
MRS. DENISE MCCLUNG DESANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 PENDLETON RD, FREDERICKSBURG, VA 22405-3041
(540) 373-7366
(540) 371-3788
Mailing address
613 CAMDEN DR, FREDERICKSBURG, VA 22405-2032
(540) 373-2798
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22022007625
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2202007625
BOARD OF AUDIOLOGY AND SPEECH-LANGUAGE PATHOLOGY
VA
Enumeration date
02/07/2018
Last updated
02/07/2018
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