Sando Moore

NPI #1215316005 in Pawtucket, Rhode Island

Provider Information

NPI Number: 1215316005
Entity Type: Individual
Name: Sando Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: May 26, 2015
Last Updated: May 26, 2015

Practice Location

Address: 160 BEECHWOOD AVE
City: Pawtucket
State: Rhode Island
ZIP Code: 02860-5402
Phone: (401) 724-8400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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