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Individual

BRITTNEY MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
927 BROADWAY ST, QUINCY, IL 62301-2719
(217) 224-4453
Mailing address
2400 W 64TH ST, RICHFIELD, MN 55423-1001

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071010780
IL
103T00000X
Psychologist
LP6453
MN

Other

Enumeration date
10/17/2019
Last updated
10/18/2022
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