Chelse Moore CCC-SLP

NPI 1073686820 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1073686820
Gender Female
Enumeration Date 11/16/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
JONESBORO GA, 30236-5497, US
Phone (770) 506-9676
Fax (770) 506-9677
Business Location
PO BOX 723
JONESBORO GA, 30237-0723, US
Phone (770) 506-9676
Fax (770) 506-9677
Taxonomy Code 235Z00000X
License State Georgia
License Number 004740
Remove 1073686820 NPI Number

According to our database, Chelse Moore CCC-SLP NPI is 1073686820, taxonomy code is 235Z00000X and license number is 004740, license state is located at Georgia. Chelse Moore CCC-SLP physically located at 555 Serene Waters Trl, Jonesboro GA, 30236-5497. NPI Number Chelse Moore CCC-SLP has the Individual type.

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1073686820 NPI number is provided on an as is basis without warranty of any kind. 1073686820 is maintained by the National Plan & Provider Enumeration System. The contents of Chelse Moore CCC-SLP are for informational purposes only.