Individual
MS. CHARLOTTE CATHERINE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S./CCC-SLP
Contact information
Practice address
4825 E ROOSEVELT ST, PHOENIX, AZ 85008-5917
(602) 629-6774
(602) 629-6458
Mailing address
818 S WESTWOOD, #234, MESA, AZ 85210-3446
(682) 597-8092
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1109
AZ
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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