Individual
RHONDA LYNN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DTLLP
Contact information
Practice address
1521 GULL RD, KALAMAZOO, MI 49048-1640
(269) 226-8133
Mailing address
6409 STURBRIDGE DR, KALAMAZOO, MI 49004-9653
(269) 615-5742
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6352000388
MI
Other
Enumeration date
04/24/2021
Last updated
04/24/2021
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