Stephen D Moore

NPI #1285948919 in Ruidoso, New Mexico

Provider Information

NPI Number: 1285948919
Entity Type: Individual
Name: Stephen D Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Aug 5, 2010
Last Updated: Aug 5, 2010

Practice Location

Address: 206 PORR DR
City: Ruidoso
State: New Mexico
ZIP Code: 88345-6713
Phone: (575) 630-0571

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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