Individual
ANDRIA MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
100 ROSEWOOD VILLAGE DR, SWANSEA, IL 62226-2301
(618) 236-1391
Mailing address
30 FAIRVIEW DR, FAIRVIEW HEIGHTS, IL 62208-1717
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.005241
IL
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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