Individual
DR. DIANNE DOWNING MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
110 S 12TH ST, WACO, TX 76701-1810
(254) 752-3451
Mailing address
3524 LAKE HEIGHTS DR, WACO, TX 76708-1006
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13964
TX
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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