Individual
MRS. MARY LLOYD MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP-CCC
Contact information
Practice address
1641 CHESTNUT ST, BOWLING GREEN, KY 42101-3501
(270) 781-1719
(270) 745-4233
Mailing address
1641 CHESTNUT ST, BOWLING GREEN, KY 42101-3501
(270) 781-1719
(270) 745-4233
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1498
KY
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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