CHARLES MOORE

PORT ST LUCIE, FL
NPI1568911147
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: FL  SZ 7830)
Enumeration Date2016-09-24
Last Update Date2016-09-24
Business Address
-- CHARLES MOORE
549 NW LAKE WHITNEY PL STE 103
PORT ST LUCIE, FL 34986-1606
Phone number: 772-242-3187
Mailing Address
-- CHARLES MOORE
549 NW LAKE WHITNEY PL STE 103
PORT ST LUCIE, FL 34986-1606
Phone number: 772-242-3187
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