Individual
MR. KARLA ANNETTE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
100 EAST MISSOURI, MELROSE, NM 88124
(505) 253-4266
(505) 253-4291
Mailing address
100 EAST MISSOURI, P.O. BOX 275, MELROSE, NM 88124
(505) 253-4266
(505) 253-4291
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
100576
TX
235Z00000X
Speech-Language Pathologist
Primary
3260
NM
Other
Enumeration date
01/25/2007
Last updated
09/18/2007
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