Mark Moore
Mark Moore is a Peer Specialist in Sheridan, Wyoming. Works from 2 locations. Licensed in Wyoming.
- Licensed in
- WY
- In the registry since
- 2020
Practice location Address checks out
1221 W 5th StSheridan, WY 82801-2701
Phone: (307) 674-4405
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1221 W 5th St, Sheridan, WY 82801-2701 — (307) 674-4405
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence CPS-014 (WY) |
|---|
Record details
| NPI number | 1710527130 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 14, 2020 |
| Last updated in NPPES | February 14, 2023 |
| Certification date | February 14, 2023 |
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1221 W 5th St, Sheridan, WY 82801-2701 · (307) 674-4405