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Individual

ANDREA CELIA MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
1 TECHNOLOGY DR STE 1100, FROSTBURG, MD 21532-2376
(301) 687-1080
Mailing address
13011 BOONE ST, CUMBERLAND, MD 21502-5770

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
0200094
MD
221700000X
Art Therapist

Other

Enumeration date
05/30/2007
Last updated
09/30/2010
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