Individual
DR. MELISSA DELAROSA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
100 S BRAINARD AVE, LA GRANGE, IL 60525-2100
(708) 579-6520
Mailing address
100 S BRAINARD AVE, LA GRANGE, IL 60525-2100
(708) 579-6520
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2016676
IL
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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