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AMY C MOORE MS, CCC-SLP

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1447492293

Individual Registrant:
 AMY C MOORE MS, CCC-SLP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
403 FORREST AVE  EAST BREWTON, AL 36426-2622 US
Tel: 251-363-6213  Fax: --

Contact information for business:
152 BELLE MEADE DR  BREWTON, AL 36426-4006 US
Tel: 251-363-6213  Fax: --

Registration Information:
NPI: 1447492293
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
AL2071

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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