Individual
MRS. GWEN LEE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1130 HALE ST, OXFORD, AL 36203-2444
(256) 831-0481
Mailing address
1130 HALE ST, OXFORD, AL 36203-2444
(256) 831-0481
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3114
AL
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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