Individual
MS. ABIGAIL LACEY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4100 JOLIET AVE, LYONS, IL 60534-1513
(708) 783-4100
Mailing address
9607 MERTON AVE, OAK LAWN, IL 60453-2726
(708) 776-3927
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242008634
IL
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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