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Individual

AKIRAH MONAYE MATTOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2030 COLONIAL AVE SW, ROANOKE, VA 24015-3204
(540) 343-0165
Mailing address
4620 BUCK RUN DR APT C, ROANOKE, VA 24018-9042
(540) 494-1287

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2202010891
VA
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
12/28/2021
Last updated
01/17/2025
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