Samone Amia Moore

NPI #1376277012 in Bridgewater, Virginia

Provider Information

NPI Number: 1376277012
Entity Type: Individual
Name: Samone Amia Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - School
Enumeration Date: Jul 9, 2022
Last Updated: Jul 9, 2022

Practice Location

Address: 100 CHESTERS WAY
City: Bridgewater
State: Virginia
ZIP Code: 22812-1676
Phone: (540) 960-0232

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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