Individual
ANNA VICARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1211 S ALLEN AVE, RICHMOND, VA 23220-6703
(804) 780-8058
Mailing address
301 N 9TH ST FL 13, RICHMOND, VA 23219-1933
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007324
VA
Other
Enumeration date
04/19/2018
Last updated
05/27/2020
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