Individual
KARLA J MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
421 W OAK ST, OAK HARBOR, OH 43449-1231
(419) 707-7956
Mailing address
421 W OAK ST, OAK HARBOR, OH 43449-1231
(419) 707-7956
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
6201676
OH
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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