Tina Michele Moore
Tina Michele Moore is a Peer Specialist in Ypsilanti, Michigan. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
8775 Spinnaker Way Apt A1Ypsilanti, MI 48197-7156
Phone: (734) 329-3590
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Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1124807953 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 21, 2023 |
| Last updated in NPPES | September 21, 2023 |
| Certification date | September 21, 2023 |
| Mailing address | 8775 Spinnaker Way Apt A1, Ypsilanti, MI 48197-7156 |
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