Robert Moore | |
719 N Greenfield Dr Freeport IL 61032-2940 | |
(815) 275-0367 | |
Not Available |
Full Name | Robert Moore |
---|---|
Speciality | Community/behavioral Health |
Location | 719 N Greenfield Dr, Freeport, Illinois |
Authorized Official Name and Position | Robert Maurice Moore (BEHAVIOR ANALYST) |
Authorized Official Contact | 8152750367 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Robert Moore 719 N Greenfield Dr Freeport IL 61032-2940 Ph: (815) 275-0367 | Robert Moore 719 N Greenfield Dr Freeport IL 61032-2940 Ph: (815) 275-0367 |
NPI Number | 1184021255 |
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Provider Enumeration Date | 12/04/2014 |
Last Update Date | 12/04/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184021255 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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