Individual
MS. JESSICA DAWN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
309 W BARTON AVE, WEST MEMPHIS, AR 72301-3013
(870) 735-4196
Mailing address
1451 ESTATE DR, MEMPHIS, TN 38119-5901
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6730
TN
235Z00000X
Speech-Language Pathologist
—
AR
Other
Enumeration date
04/04/2013
Last updated
02/28/2024
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