Individual
ALICIA SIERRA MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CF -SLP
Contact information
Practice address
6688 MAIN ST, GLOUCESTER, VA 23061-5194
(804) 210-1555
(804) 210-1556
Mailing address
204 ARMSTRONG DR APT 3, HAMPTON, VA 23669-4417
(804) 687-1114
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007245
VA
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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