Individual
MR. BRANDON MOORE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.A., CCC/SLP
Contact information
Practice address
404 KENDALL RIDGE DR, WEST MONROE, LA 71292-2163
(318) 397-7635
Mailing address
404 KENDALL RIDGE DR, WEST MONROE, LA 71292-2163
(318) 397-7635
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5103
LA
Other
Enumeration date
09/26/2005
Last updated
07/08/2007
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