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Individual
TAMARA ROCHELLE MOORE
Active
Individual
TAMARA ROCHELLE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWA, LCASA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-29729
NC
1041C0700X
Clinical Social Worker
Primary
P018157
NC
Other
Enumeration date
08/18/2022
Last updated
09/03/2026
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