Individual
JULIE SACCOGNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
43 WILLIAM B GRAHAM CT, KILMARNOCK, VA 22482-3852
(804) 435-8501
Mailing address
7649 COLROSS GLEN DR, KING GEORGE, VA 22485-3771
(330) 283-5651
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008835
VA
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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