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Individual
MR. TERRY W MOORE
Active
Individual
MR. TERRY W MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
S31242
TX
101YM0800X
Mental Health Counselor
S31242
TX
1041C0700X
Clinical Social Worker
S31242
TX
106H00000X
Marriage & Family Therapist
S31242
TX
Other
Enumeration date
06/29/2006
Last updated
06/30/2008
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