Individual
AMY RAE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, CCC-SLP
Contact information
Practice address
320 DUNDAS DR, SUITE 8, JACKSONVILLE, FL 32218-8502
(904) 757-1782
(904) 757-9808
Mailing address
320 DUNDAS DR, SUITE 8, JACKSONVILLE, FL 32218-8502
(904) 757-1782
(904) 757-9808
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA11705
FL
Other
Enumeration date
06/06/2013
Last updated
06/06/2013
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