Casey D Moore

NPI #1457068058 in Hancock, Michigan

Provider Information

NPI Number: 1457068058
Entity Type: Individual
Name: Casey D Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Nov 2, 2022
Last Updated: Nov 2, 2022

Practice Location

Address: 540 DEPOT ST
City: Hancock
State: Michigan
ZIP Code: 49930-2042
Phone: (906) 482-7382

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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