Individual
MEGAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
405 27TH AVE S, CLEAR LAKE, IA 50428-4012
(641) 357-7083
Mailing address
1000 S ILLINOIS AVE APT 801, MASON CITY, IA 50401-5431
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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