Stephanie Moore, MA, CADC, CTP

NPI 1912543497 · on the registry since 2019

Practice

Address: 1646 305th St
Tama, IA 52339
Phone: (641) 484-9482
Fax: (641) 484-9477
Organisation at this address: Meskwaki Pharmacy
Sac & Fox Of The Miss In Iowa
Sac & Fox Tribe Of The Miss In Iowa
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: IA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-02-02

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 Iowa