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Search › Michigan › 103TC0700X

Jill Moore

NPI 1598826778 · on the registry since 2006 · sole proprietor

Practice

Address
18316 Middlebelt Rd
Livonia, MI 48152
Phone
(248) 615-9730
Organisation at this address
Starfish Family Services
Lifespan Clinical Serivces
Lifespan Clinical Services-Livonia Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address
88

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

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 Michigan