Individual
JENNIFER LYNN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 HIGH SCHOOL RD, CORYDON, IN 47112-1750
(812) 738-2094
Mailing address
121 HIGH SCHOOL RD, CORYDON, IN 47112-1750
(812) 738-2094
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1611432
IN
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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