Individual
DEMIA MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
727 FALLSGROVE DR APT 5142, ROCKVILLE, MD 20850-7791
(678) 709-8785
Mailing address
727 FALLSGROVE DR APT 5142, ROCKVILLE, MD 20850-7791
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01978L
MD
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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