Individual
CHERIEE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
1138 CARDENAS DR SE, ALBUQUERQUE, NM 87108-4809
(505) 268-3961
Mailing address
PO BOX 25704, ALBUQUERQUE, NM 87125-0704
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP7460
NM
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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