Individual
MS. SHAWNA ASHLEY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
170 KEARSARGE RD, NORTH CONWAY, NH 03860-5331
(800) 789-3062
Mailing address
170 KEARSARGE RD, NORTH CONWAY, NH 03860-5331
(800) 789-3062
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NH
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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