Individual
MRS. ANGELA WILLIAMS MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
301 N NINTH ST, RICHMOND, VA 23219-1933
(804) 780-7312
Mailing address
8005 SYCAMORE LN, HENRICO, VA 23228-3730
(804) 370-7849
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202001965
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2202001965
—
VA
Enumeration date
04/18/2018
Last updated
08/31/2023
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