Individual
KATHERINE ROSE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
421 NEBRASKA ST, STURGEON BAY, WI 54235-2225
(920) 746-7155
Mailing address
421 NEBRASKA ST, STURGEON BAY, WI 54235-2225
(920) 746-7155
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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