Shannon Moore

NPI #1912439001 in Rosedale, Maryland

Provider Information

NPI Number
1912439001
Entity Type
Individual
Name
Shannon Moore
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Enumeration Date
Mar 29, 2017
Last Updated
Sep 15, 2025

Practice Location

Address
9627 PHILADELPHIA RD STE 160
ZIP Code
21237-4157
Phone
(410) 780-5203

Specialties & Taxonomy Codes

Specialty
Rehabilitation Practitioner
Counselor - ProfessionalProfessional

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