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Organization
KELLY DORR MOATES, LMFT, LLC
Active
Organization
KELLY DORR MOATES, LMFT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY DORR MOATES MS, LMFT (OWNER, THERAPIST)
(205) 914-3035
Entity
Organization
Contact information
Practice address
326 MAIN ST, SUITE B, TRUSSVILLE, AL 35173-1425
(205) 914-3035
Mailing address
326 MAIN ST, SUITE B, TRUSSVILLE, AL 35173-1425
(205) 914-3035
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
267
AL
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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