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Individual

SARAH CARMODY ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
2924 BROOK RD, CHILDREN'S HOSPITAL OF RICHMOND, RICHMOND, VA 23220-1215
(804) 321-7474
(804) 228-5210
Mailing address
2924 BROOK RD, CHILDREN'S HOSPITAL OF RICHMOND CREDENTIALING DEPT, RICHMOND, VA 23220-1215
(804) 321-7474
(804) 228-5210

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006436
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004909976
VA
Enumeration date
09/26/2011
Last updated
09/26/2011
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