Individual
SADIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
804 OAK ST, BRAINERD, MN 56401-3755
(218) 454-6900
Mailing address
31113 SPRING LOOP, BREEZY POINT, MN 56472-4023
(719) 323-0196
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0002182
CO
235Z00000X
Speech-Language Pathologist
Primary
—
MN
Other
Enumeration date
08/21/2015
Last updated
04/12/2026
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