MISTY MICHELLE MOORE

KOSCIUSKO, MS
NPI1831717446
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MS  S2307)
Enumeration Date2020-07-09
Last Update Date2020-07-09
Business Address
Mrs. MISTY MICHELLE MOORE SLP
6444 HIGHWAY 43 S
KOSCIUSKO, MS 39090-9459
Phone number: 662-582-8245
Mailing Address
Mrs. MISTY MICHELLE MOORE SLP
6444 HIGHWAY 43 S
KOSCIUSKO, MS 39090-9459
Phone number: 662-582-8245