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Individual

ELIZABETH MOYLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
645 TAMALPAIS DR STE B, CORTE MADERA, CA 94925-1613
(559) 909-2605
Mailing address
40 KNIGHT DR, SAN RAFAEL, CA 94901-2542
(559) 909-2605

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
09/18/2020
Last updated
09/18/2020
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