Individual
JENSEN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
215 MERIDETH ST, MORGANTOWN, WV 26508-2561
(304) 680-9616
Mailing address
1927 JAKES RUN RD, FAIRVIEW, WV 26570-8529
(304) 680-9616
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-2280
WV
Other
Enumeration date
02/25/2021
Last updated
10/21/2024
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