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MRS. SUSAN SUNDSTROM HOLLINGSWORTH CCC-SLP

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1649770256

Individual Registrant:
MRS. SUSAN SUNDSTROM HOLLINGSWORTH CCC-SLP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
8270 WILLOW OAKS CORPORATE DR  FAIRFAX, VA 22031-4511 US
Tel: 703-633-7500  Fax: --

Contact information for business:
8270 WILLOW OAKS CORPORATE DR  FAIRFAX, VA 22031-4511 US
Tel: --  Fax: --

Registration Information:
NPI: 1649770256
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
VA2202003312

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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