Individual
MELANIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
90 A CLARK BOULEVARD, TUPELO, MS 38801
(662) 840-0535
(662) 842-7915
Mailing address
PO BOX 3592, TUPELO, MS 38803-3592
(662) 840-0535
(662) 842-7915
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3338
MS
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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