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Search › Wisconsin › 101YA0400X

Maria Moore, ICS

NPI 1174956635 · on the registry since 2013

Practice

Address
2319 W Capitol Dr
Milwaukee, WI 53206
Phone
(414) 442-2033
Fax
(414) 442-2167
Organisation at this address
Gateway To Change
Gateway To Change
Gateway To Change
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
101YA0400X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-03-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin