Individual
MS. CHARLENE LATOYA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12720 UNIVERSITY CLUB DR APT 202, TAMPA, FL 33612-6594
(347) 208-1931
Mailing address
12720 UNIVERSITY CLUB DR APT 202, TAMPA, FL 33612-6594
(347) 208-1931
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/28/2022
Last updated
02/22/2022
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