LISA KNIERIM IVANOV

MANASSAS, VA
NPI1972847192
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: VA  2202006805)
Enumeration Date2012-11-15
Last Update Date2013-03-21
Business Address
Mrs. LISA KNIERIM IVANOV CCC/SLP
8575 RIXLEW LN
MANASSAS, VA 20109-3701
Phone number: 703-257-2941
Mailing Address
Mrs. LISA KNIERIM IVANOV CCC/SLP
24476 RIPPLE CT
ALDIE, VA 20105-5503
Phone number: 904-703-9310
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