Individual
CARRIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
104 VSDB DRIVE, STAUNTON, VA 24402
(504) 332-9056
Mailing address
106 COMMUNITY WAY APT 934, STAUNTON, VA 24401
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2203000722
VA
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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