Individual
JENNIFER SMITH MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS/CCC-SLP
Contact information
Practice address
2755 LIVE OAK LN, MIDLOTHIAN, VA 23113-3100
(804) 986-9505
Mailing address
2755 LIVE OAK LN, MIDLOTHIAN, VA 23113-3100
(804) 986-9505
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202003689
VA
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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