Individual
TAYLOR JOELLE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
347 CREEKSIDE DR, PETOSKEY, MI 49770-8676
(231) 487-0080
Mailing address
9190 REYNOLDS RD, TRAVERSE CITY, MI 49684-9666
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/28/2019
Last updated
01/15/2020
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