Individual
MRS. DEBRA MARSICO MOELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
739 TURKEY TROTT TRL, RICHMOND HILL, GA 31324-5818
(912) 727-2279
(912) 727-2279
Mailing address
739 TURKEY TROTT TRL, RICHMOND HILL, GA 31324-5818
(912) 727-2279
(912) 727-2279
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
001136
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401046937A
—
GA
Enumeration date
04/28/2008
Last updated
04/28/2008
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