Individual
FAITH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 ELTON HILLS LN NW, ROCHESTER, MN 55901-3577
(612) 598-2913
Mailing address
936 41ST ST NW APT 314, ROCHESTER, MN 55901-1384
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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