Individual
SHAWN MARIE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24951 E US HIGHWAY 50, PUEBLO, CO 81006-2027
(719) 542-1671
(719) 544-7248
Mailing address
24951 E US HIGHWAY 50, PUEBLO, CO 81006-2027
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01098653
CO
Other
Enumeration date
05/20/2026
Last updated
05/20/2026
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