Individual
EMILY MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4920 WOODMAR DR SW, ROANOKE, VA 24018-1651
(540) 400-0897
Mailing address
4920 WOODMAR DR SW, ROANOKE, VA 24018-1651
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008776
VA
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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