Individual
MICHELLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 OLD TROLLEY RD # STE 101, SUMMERVILLE, SC 29485-8283
(843) 871-3235
Mailing address
1801 OLD TROLLEY RD # STE 101, SUMMERVILLE, SC 29485-8283
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/24/2012
Last updated
12/16/2013
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