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Individual

MISS KAYLA ELIZABETH MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
1502 ROUTE 61 HWY S, POTTSVILLE, PA 17901-8409
(570) 593-5484
Mailing address
1414 SUMMER HILL RD, AUBURN, PA 17922-9017
(570) 205-7768

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL014054
PA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/13/2017
Last updated
05/07/2019
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