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Individual

ABBIE KATHLEEN MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
X

Contact information

Practice address
9578 NIMS LN, PENSACOLA, FL 32534-1302
(850) 723-6570
Mailing address
3756 PIERCE DR, SHELBY TOWNSHIP, MI 48316-1108

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
10/08/2025
Last updated
10/08/2025
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