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Individual

MARTECHA MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4202 N I-10 SERVICE RD W, METAIRIE, LA 70006
(504) 641-4319
Mailing address
4201 N I 10 SERVICE RD W, METAIRIE, LA 70006-6713
(504) 641-4319

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
LA

Other

Enumeration date
01/28/2026
Last updated
01/28/2026
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