Individual
ASHLEY MOONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
628 LAKE ST NE, WISE, VA 24293-7919
(276) 328-8017
Mailing address
160 CHALET VILLAGE RD, JONESVILLE, VA 24263-8159
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204000983
VA
Other
Enumeration date
07/23/2022
Last updated
10/01/2024
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