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Individual
MRS. STEPHANIE G HARRIS-MOORE
Active
Individual
MRS. STEPHANIE G HARRIS-MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1874259
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1874259
—
IL
Enumeration date
05/31/2019
Last updated
05/31/2019
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