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Organization
TAMMY LYNN MOORE
Active
Organization
TAMMY LYNN MOORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY LYNN MOORE (CLINICAL SOCIAL WORKER)
(614) 398-1180
Entity
Organization
Contact information
Practice address
1200 W 5TH AVE STE 102D, COLUMBUS, OH 43212-2503
(614) 398-1180
Mailing address
1200 W 5TH AVE STE 102D, COLUMBUS, OH 43212-2503
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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