Individual
CHELSE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
555 SERENE WATERS TRL, JONESBORO, GA 30236-5497
(770) 506-9676
(770) 506-9677
Mailing address
PO BOX 723, JONESBORO, GA 30237-0723
(770) 506-9676
(770) 506-9677
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004740
GA
Other
Enumeration date
11/16/2006
Last updated
07/09/2007
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