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Individual
TALASHA D MOORE
Active
Individual
TALASHA D MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CRC, LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401019136
MI
225C00000X
Rehabilitation Counselor
137516
MI
Other
Enumeration date
11/17/2017
Last updated
05/01/2022
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