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Individual

LESLIE MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
303 GERVAIS RD, FRANKLIN FURNACE, OH 45629-8742
(740) 259-7000
Mailing address
303 GERVAIS RD, FRANKLIN FURNACE, OH 45629-8742

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
171M00000X
Case Manager/Care Coordinator
Primary
175T00000X
Peer Specialist
Primary

Other

Enumeration date
01/27/2025
Last updated
02/10/2026
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