Individual
AUTUMN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CF-SLP
Contact information
Practice address
10000 WORNALL RD, KANSAS CITY, MO 64114-4359
(816) 876-3965
Mailing address
28860 195TH ST, LEAVENWORTH, KS 66048-7748
(816) 876-3965
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2019037933
MO
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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