Individual
MRS. HELEN S MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEECH PATHOLOGIST
Contact information
Practice address
1483 SHADOW CREEK DR, ORANGE PARK, FL 32065-2514
(904) 644-7110
Mailing address
1483 SHADOW CREEK DR, ORANGE PARK, FL 32065-2514
(904) 644-7110
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
SA10293
FL
Other
Enumeration date
11/01/2014
Last updated
11/01/2014
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