Individual
ALISON DARA MOULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
8270 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4511
(571) 423-4170
Mailing address
675 S WASHINGTON ST, ALEXANDRIA, VA 22314-4109
(703) 295-2302
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/06/2008
Last updated
08/09/2022
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