MRS. Michelle Glynise Moore, EARLY INTERVENTION P
NPI #1760649628 in Blue Island, Illinois
Provider Information
- NPI Number
- 1760649628
- Entity Type
- Individual
- Name
- MRS. Michelle Glynise Moore, EARLY INTERVENTION P
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Early Intervention Provider Agency
- Credential
- EARLY INTERVENTION P
- Enumeration Date
- May 19, 2008
- Last Updated
- Jul 15, 2025
Practice Location
- Address
- PO BOX 658
- City
- Blue Island
- State
- Illinois
- ZIP Code
- 60406
- Phone
- (708) 698-0714
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
| Social Worker - Clinical — Clinical |
| Early Intervention Provider Agency |
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