Meredith Moore's National Provider Identifier (NPI) Details
Meredith Moore, LBSW
NPI: 1699787440
Enumeration Date: 2006-08-12
Last updated: 2007-07-08
Sole Proprietor: NO
Status: active
Postal Address: 3847 PINE GROVE AVE STE A, FORT GRATIOT, MI
Phone: 810-966-3734
Primary Practice Address: 3847 PINE GROVE AVE STE A, FORT GRATIOT, MI
Practice's phone: 810-966-3734