Individual
LASHANNE E MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
417 MELBOURNE LN, SPARTANBURG, SC 29301-3245
(864) 285-0786
Mailing address
417 MELBOURNE LN, SPARTANBURG, SC 29301-3245
(864) 285-0786
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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