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Individual
ALICIA T MOORE
Active
Individual
ALICIA T MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
109881
TX
104100000X
Social Worker
109881
TX
1041C0700X
Clinical Social Worker
Primary
109881
TX
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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