MRS. Katie Moore

NPI #1952816498 in Troy, Illinois

Provider Information

NPI Number: 1952816498
Entity Type: Individual
Name: MRS. Katie Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Speech-Language Pathologist
Enumeration Date: Dec 6, 2017
Last Updated: Jun 3, 2020

Practice Location

Address: 28 BULLSEYE DR
City: Troy
State: Illinois
ZIP Code: 62294-2486
Phone: (618) 792-8782

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Speech-Language Pathologist	235Z00000X	Primary

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