Individual
JACEY LYNN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A., SLPA
Contact information
Practice address
14651 DALLAS PKWY STE 200, DALLAS, TX 75254-8856
(254) 366-9283
Mailing address
22 HUNTINGTON WOODS ESTATES DR, TOMBALL, TX 77377-4700
(254) 366-9283
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
42963
TX
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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