Audrea Moore

NPI 1124161153 - Counselor - 101Y00000X

NPI Details
NPI 1124161153
Gender Female
Enumeration Date 02/15/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
135 N MOON AVE
BRANDON FL, 33510-4419, US
Phone (813) 689-8828
Fax
Business Location
135 N MOON AVE
BRANDON FL, 33510-4419, US
Phone
Fax
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, Audrea Moore NPI is 1124161153, taxonomy code is 101Y00000X Audrea Moore physically located at 135 N Moon Ave, Brandon FL, 33510-4419. NPI Number Audrea Moore has the Individual type.

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1124161153 NPI number is provided on an as is basis without warranty of any kind. 1124161153 is maintained by the National Plan & Provider Enumeration System. The contents of Audrea Moore are for informational purposes only.