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1003066978
DANIELLE MOORE
TUCKER, GA
NPI
1003066978
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA SLP004369)
Enumeration Date
2008-09-26
Last Update Date
2008-09-26
Business Address
Ms. DANIELLE MOORE CCC-SLP
3756 LAVISTA RD SUITE 104
TUCKER, GA 30084-5614
Phone number: 404-477-9400
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Mailing Address
Ms. DANIELLE MOORE CCC-SLP
405 JORDAN DR
TUCKER, GA 30084-2035
Phone number: 404-477-9400
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