Individual
DWEH MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5302 CATTLE CROSSING WAY, JACKSONVILLE, FL 32226-4760
(904) 253-5822
Mailing address
5302 CATTLE CROSSING WAY, JACKSONVILLE, FL 32226-4760
(904) 253-5822
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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