Individual
KAITLIN SANDRA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 ALEXANDER PARK STE 101, PRINCETON, NJ 08540-6877
(855) 274-9582
Mailing address
PO BOX 12072, SEATTLE, WA 98102-0072
(530) 723-8098
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA000187
PA
Other
Enumeration date
01/08/2024
Last updated
01/13/2025
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