Individual
LENORE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS/CCC-SLP
Contact information
Practice address
1810 KENSINGTON DR, WAUKESHA, WI 53188-5616
(262) 548-1400
Mailing address
N55W14360 CAROL DR, MENOMONEE FALLS, WI 53051-6805
(262) 781-7166
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3771-154
WI
235Z00000X
Speech-Language Pathologist
392
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100047307
—
WI
Enumeration date
08/19/2013
Last updated
07/15/2020
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