Individual
KAITLYN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
900 N MARQUIS HWY, HARTSVILLE, SC 29550-3526
(843) 383-5164
Mailing address
900 N MARQUIS HWY, HARTSVILLE, SC 29550-3526
(843) 383-5164
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5658
SC
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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