Individual
AMY DEA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4700 ROCKSIDE RD, INDEPENDENCE, OH 44131-2155
(216) 750-2600
Mailing address
4700 ROCKSIDE RD, INDEPENDENCE, OH 44131-2155
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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