Individual
LINDA L. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
639 W CHESTNUT EXPY, SPRINGFIELD, MO 65802-3935
(417) 523-7595
Mailing address
3081 E LOREN ST, REPUBLIC, MO 65738-1735
(417) 732-2902
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2011013603
MO
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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