MRS. Audra Ann Moore

NPI #1134369077 in Pekin, Illinois

Provider Information

NPI Number
1134369077
Entity Type
Individual
Name
MRS. Audra Ann Moore
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Enumeration Date
Mar 5, 2009
Last Updated
Mar 5, 2009

Practice Location

Address
3248 VANDEVER AVE
City
Pekin
ZIP Code
61554-6257
Phone
(309) 347-5579

Specialties & Taxonomy Codes

Specialty
Counselor

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