Individual
SAMANTHA ANN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 CENTRAL AVE, COLUMBUS, IN 47201-6001
(812) 373-2187
Mailing address
1200 CENTRAL AVE, COLUMBUS, IN 47201-6001
(812) 373-2187
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
IN
Other
Enumeration date
10/24/2017
Last updated
11/14/2024
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