Individual
SCARLETT SMITH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7091 HUELL MATTHEWS HWY, ALTON, VA 24520-3091
(434) 517-2600
Mailing address
PO BOX 1849, HALIFAX, VA 24558-1849
(434) 476-2171
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007646
VA
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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