Stanley Moore, BA

NPI #1659505683 in Antioch, Tennessee

Provider Information

NPI Number
1659505683
Entity Type
Individual
Name
Stanley Moore, BA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Credential
BA
Enumeration Date
May 5, 2009
Last Updated
Jan 31, 2011

Practice Location

Address
1921 RANSOM PLACE
ZIP Code
37013
Phone
(615) 586-9155

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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