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Individual

MS. THEARSA ANN MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2702 PAOLI PIKE APT 382, NEW ALBANY, IN 47150-5167
(502) 439-1892
Mailing address
2211 CHARLESTOWN RD, NEW ALBANY, IN 47150-2563
(812) 697-1187

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
222Q00000X
Developmental Therapist

Other

Enumeration date
08/12/2009
Last updated
02/02/2012
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