Individual
SARAH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 LAURENCE AVE, JACKSON, MI 49202-2979
(517) 750-4777
(517) 782-4717
Mailing address
1001 LAURENCE AVE, JACKSON, MI 49202-2979
(517) 782-4717
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
235Z00000X
Speech-Language Pathologist
Primary
7152000076
MI
Other
Enumeration date
09/10/2019
Last updated
03/22/2022
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