Individual
JENEEN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.CCC-SLP
Contact information
Practice address
7010 BRADDOCK RD, ANNANDALE, VA 22003-6006
(703) 941-8810
Mailing address
7010 BRADDOCK RD, ANNANDALE, VA 22003-6006
(703) 941-8810
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202001532
VA
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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