Individual
ASHLEY MICHELLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 CASTLE DR, MADISON, AL 35758-8674
(256) 870-8101
Mailing address
200 CHRIS RYAN LN, TONEY, AL 35773-7061
(256) 698-5328
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5785G
AL
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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