Individual
MRS. MARY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 DIXIE HWY, HAMILTON, OH 45015-1653
(513) 737-3400
Mailing address
3101 DIXIE HWY, HAMILTON, OH 45015-1653
(513) 737-3400
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/25/2018
Last updated
08/10/2022
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