Individual
ANDREA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 ELLIS AVE, ORANGEBURG, SC 29115-5062
(803) 747-5606
(803) 937-6032
Mailing address
PO BOX 2234, ORANGEBURG, SC 29116-2234
(803) 747-5606
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5776
SC
Other
Enumeration date
05/23/2019
Last updated
11/27/2023
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