Individual
KENZIE MARYBETH VANDERWERKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
451 RADIO LN, CULPEPER, VA 22701-1550
(540) 825-8847
Mailing address
451 RADIO LN, CULPEPER, VA 22701-1550
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008639
VA
Other
Enumeration date
01/25/2018
Last updated
01/25/2018
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