Individual
MRS. AMANDARHEA A MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
1792 FALLS BLVD N, SUITE 4, WYNNE, AR 72396-4092
(870) 261-5820
Mailing address
22 COUNTY ROAD 385, WYNNE, AR 72396-8075
(870) 261-5820
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2939
AR
Other
Enumeration date
01/05/2011
Last updated
01/05/2011
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