KIMBERLY DIANE MOORE

TAMPA, FL
NPI1134258858
Former NameKIMBERLY DIANE BRADDOCK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: FL  SA6405)
Enumeration Date2007-03-06
Last Update Date2007-07-08
Business Address
Mrs. KIMBERLY DIANE MOORE MS CCCSLP
6508 GUNN HIGHWAY
TAMPA, FL 33625-4022
Phone number: 813-963-6923
Mailing Address
Mrs. KIMBERLY DIANE MOORE MS CCCSLP
6508 GUNN HIGHWAY INDEPENDENT LIVING INC
TAMPA, FL 33625-4022
Phone number: 813-963-6923
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