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Individual
MR. COOPER THOMAS MOORE
Active
Individual
MR. COOPER THOMAS MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
17529
FL
101YM0800X
Mental Health Counselor
Primary
MH18603
FL
Other
Enumeration date
07/23/2019
Last updated
10/30/2023
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