Individual
MERCEDEZ D MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4523 BROADLEAF DR # 4, LOUISVILLE, KY 40216-4505
(317) 413-0358
Mailing address
4523 BROADLEAF DR # 4, LOUISVILLE, KY 40216-4505
(317) 413-0358
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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