Joey W Moore, LICENSED PRACTICAL N Valid NPI
Individual provider · Case Manager/Care Coordinator · Crossett, AR
- NPI
- 1528396314
- Type
- Individual (Type 1)
- Primary specialty
- Case Manager/Care Coordinator
- Specialty group
- Other Service Providers
- Taxonomy code
- 171M00000X
- License number
- L49184 (AR)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2009-12-07
- Last updated
- 2009-12-07
Practice location
1308 W 5th Street
Crossett, AR 71635
(870) 364-6471