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Organization

ROBERT MOORE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT MAURICE MOORE (BEHAVIOR ANALYST)
(815) 275-0367
Entity
Organization

Contact information

Practice address
719 N GREENFIELD DR, FREEPORT, IL 61032-2940
(815) 275-0367
Mailing address
719 N GREENFIELD DR, FREEPORT, IL 61032-2940
(815) 275-0367

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
12/04/2014
Last updated
12/04/2014
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