Individual
AMY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42850 GARFIELD RD STE 101, CLINTON TWP, MI 48038-5026
(586) 295-2750
Mailing address
42850 GARFIELD RD STE 101, CLINTON TWP, MI 48038-5026
(586) 295-2750
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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