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Irish Moore

Peer Specialist in Sheridan, WY. Individual provider (NPI-1).

NPI number1477246783
StatusActive
Last updated in NPPESJun 1, 2023

Details

NPI
1477246783
Entity type
Individual (NPI-1)
Name
Irish Moore
Sex
Female
Sole proprietor
No
Enumeration date
Jun 1, 2023
Certification date
Jun 1, 2023
Last updated
Jun 1, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist126WYYes

Practice location

1221 W 5th St
Sheridan, WY 82801-2701

Phone 307-674-4405

Mailing address

1221 W 5th St
Sheridan, WY 82801-2701

Phone 307-674-4405

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