Individual
MARGO MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2817 E COCONINO VIS, TUCSON, AZ 85713-4005
(520) 595-8483
Mailing address
2817 E COCONINO VIS, TUCSON, AZ 85713-4005
(520) 595-8483
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
385HR2055X
Child Mental Illness Respite Care
Primary
—
—
Other
Enumeration date
08/10/2017
Last updated
07/21/2022
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