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Kimberly Aundrea Moore
Peer Specialist in Waterford, Michigan
NPI 1528689205

Kimberly Aundrea Moore is a Peer Specialist based in Waterford, MI. Kimberly Aundrea Moore practices in Waterford, MI. The NPI Number for Kimberly Aundrea Moore is 1528689205 and holds a License No. (Michigan).

The current practice location address for Kimberly Aundrea Moore is 279 Summit Dr, Waterford, MI and can be reached out via phone at 248-745-4900. You can also correspond with Kimberly Aundrea Moore through the mailing address at 279 SUMMIT DR, WATERFORD, MI - 48328-3364 (mailing address contact number: 248-745-4900).

Location: 279 Summit Dr, Waterford, MI, 48328-3364
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528689205
Provider Name
Kimberly Aundrea Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
279 Summit Dr, Waterford, MI, 48328-3364
Phone Number
248-745-4900
Fax Number
Provider Enumeration Date
05/04/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
279 Summit Dr
City
Waterford
State
Michigan
Zip
48328-3364
Phone Number
248-745-4900
Fax Number
person
Provider Business Mailing Address Details
Address
279 Summit Dr
City
Waterford
State
Michigan
Zip
48328-3364
Phone Number
248-745-4900
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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