Individual
BROOKE G MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
601 S EDWIN C MOSES BLVD, 4TH FLOOR, NW BUILDING, DAYTON, OH 45417-3424
(937) 543-2483
(937) 276-8269
Mailing address
601 S EDWIN C MOSES BLVD, 4TH FLOOR, NW BUILDING, DAYTON, OH 45417-3424
(937) 543-2483
(937) 276-8269
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C1000096
OH
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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