Individual
MS. JACQUELINE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 MARKET STREET, MCKEESPORT, PA 15132
(412) 672-3400
(412) 672-3456
Mailing address
500 MARKET STREET, MCKEESPORT, PA 15132
(412) 672-3400
(412) 672-3456
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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