MRS. MICHELLE MOORE, EARLY INTERVENTION P

Early Intervention Provider Agency

Active Individual
NPI: 1760649628

Practice Address

PO BOX 658
Blue Island, IL 60406

Phone: (708) 698-0714

Specialties

Specialty Code Primary License
Social Worker 104100000X No 150107720 (IL)
Social Worker - Clinical 1041C0700X No 149027689 (IL)
Early Intervention Provider Agency 252Y00000X Yes -

Frequently Asked Questions

NPI 1760649628 is the National Provider Identifier for MRS. MICHELLE MOORE, EARLY INTERVENTION P, a Early Intervention Provider Agency provider located in Blue Island, IL. This NPI was enumerated on May 19, 2008.
MRS. MICHELLE MOORE, EARLY INTERVENTION P practices at PO BOX 658, Blue Island, IL 60406.

Quick Facts

NPI
1760649628
Type
Individual
Enumerated
May 19, 2008
Last Updated
Jul 15, 2025

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