Individual
MRS. ANN FISHER MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
42 GEARY CORDELL DR, MILLS RIVER, NC 28759-6540
(828) 891-5401
Mailing address
42 GEARY CORDELL DR, MILLS RIVER, NC 28759-6540
(828) 891-5401
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5693
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7411832
—
NC
Enumeration date
03/21/2007
Last updated
04/15/2009
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