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Individual

MRS. AMY MARIE MOOMAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC.SLP

Contact information

Practice address
6401 AUBURN DR, VIRGINIA BCH, VA 23464-3601
(757) 420-1485
Mailing address
1214 REDGATE AVE, APT D, NORFOLK, VA 23507-1344
(757) 303-8219

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202003817
VA

Other

Enumeration date
05/04/2007
Last updated
02/02/2013
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