Individual
MRS. DEBBIE LYNN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP/L
Contact information
Practice address
2950 GLENWOOD DYER RD, LYNWOOD, IL 60411-9755
(708) 895-2450
Mailing address
2950 GLENWOOD DYER RD, LYNWOOD, IL 60411-9755
(708) 895-2450
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146009853
IL
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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