Individual
JENNIFER M MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
99 CANDLELIGHT LN, GUNNISON, CO 81230-9630
(720) 771-2784
Mailing address
99 CANDLELIGHT LN, GUNNISON, CO 81230-9630
(720) 771-2784
(720) 771-2784
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000354
CO
Other
Enumeration date
08/06/2013
Last updated
01/13/2015
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