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Individual

ALACIA MINOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3000 E MARSHALL ST, RICHMOND, VA 23223-7435
(804) 780-8392
Mailing address
310 KARL LINN DR APT 107, NORTH CHESTERFIELD, VA 23225-6905

Taxonomy

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

Other

Enumeration date
06/03/2019
Last updated
06/03/2019
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