Individual
DARIA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20158 CORTEZ BLVD, BROOKSVILLE, FL 34601-3832
(352) 796-0069
Mailing address
20158 CORTEZ BLVD, BROOKSVILLE, FL 34601-3832
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
4473
—
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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