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1982666228
VIVIAN D MOON
LYNCHBURG, VA
NPI
1982666228
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: VA 2202001824)
Enumeration Date
2006-04-03
Last Update Date
2007-07-08
Business Address
-- VIVIAN D MOON M.S., CCC-SLP
1912 MEMORIAL AVE
LYNCHBURG, VA 24501-1708
Phone number: 434-845-8765
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Mailing Address
-- VIVIAN D MOON M.S., CCC-SLP
230 MCWANE CIR
LYNCHBURG, VA 24501-3614
Phone number: 434-845-8765
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