SHAWN DAVID MOORE

LOUISA, KY
NPI1659154672
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2023-08-15
Last Update Date2023-08-15
Business Address
SHAWN DAVID MOORE PSS
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
Mailing Address
SHAWN DAVID MOORE PSS
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938