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1821084864
BRANDON MOORE
WEST MONROE, LA
NPI
1821084864
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: LA 5103)
Enumeration Date
2005-09-26
Last Update Date
2007-07-08
Business Address
Mr. BRANDON MOORE M.A., CCC/SLP
404 KENDALL RIDGE DR
WEST MONROE, LA 71292-2163
Phone number: 318-397-7635
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Mailing Address
Mr. BRANDON MOORE M.A., CCC/SLP
404 KENDALL RIDGE DR
WEST MONROE, LA 71292-2163
Phone number: 318-397-7635
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