Individual
MYIA HOPE GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3803 RAINBOW DR, RAINBOW CITY, AL 35906-3025
(256) 459-5051
Mailing address
1550 ANCHOR LAKE DR, SOUTHSIDE, AL 35907-0673
(256) 458-6052
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14455503
AL
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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