KRISTEN MOORE FORGUE

LAKELAND, FL
NPI1275567174
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: FL  SA6273)
Enumeration Date2006-07-10
Last Update Date2007-07-08
Business Address
Mrs. KRISTEN MOORE FORGUE MS CCCSLP
710 E BELLA VISTA ST
LAKELAND, FL 33805
Phone number: 863-686-3189
Mailing Address
Mrs. KRISTEN MOORE FORGUE MS CCCSLP
710 E BELLA VISTA ST
LAKELAND, FL 33805
Phone number: 863-686-3189