Individual
JODIE MARIE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
972 UNION ST, DANSVILLE, MI 48819-5124
(517) 488-7505
Mailing address
972 UNION ST, P.O. BOX 278, DANSVILLE, MI 48819-5124
(517) 488-7505
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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