Individual
MARION ALICE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 WALNUT ST, MCKEESPORT, PA 15132-2801
(412) 944-7897
(412) 664-0109
Mailing address
500 WALNUT ST, MCKEESPORT, PA 15132-2801
(412) 944-7897
(412) 664-0109
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
10976
PA
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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