Individual
KEELY ELIZABETH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
281 LINCOLN ST, WORCESTER, MA 01605-2138
(508) 334-1000
Mailing address
18 DICKINSON ST APT 1, SOMERVILLE, MA 02143-4005
(512) 581-8064
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9730
MA
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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