Individual
MERISHA DAWN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
425 JULIANA ST, PARKERSBURG, WV 26101-5352
(304) 483-9963
Mailing address
425 JULIANA ST, PARKERSBURG, WV 26101-5352
(304) 483-9963
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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