Individual
ANNETTE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
611 E HILL RD, SOUTHBURY, CT 06488
(203) 262-6405
(203) 924-2334
Mailing address
31 STABLE RIDGE RD, MONROE, CT 06468-1968
(203) 258-1593
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004587
CT
Other
Enumeration date
12/19/2014
Last updated
08/14/2018
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