Individual
JESSICA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
804 W JOHNSON AVE, SPRINGDALE, AR 72764-4159
(479) 750-8800
Mailing address
9901 HANOVER DR, FORT SMITH, AR 72908-0756
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/24/2014
Last updated
02/24/2014
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