Individual
ALICIA T MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
101 JONATHAN DR UNIT 3, LIBERTY HILL, TX 78642-6358
(512) 277-0676
(737) 250-7650
Mailing address
101 JONATHAN DR UNIT 3, LIBERTY HILL, TX 78642-6358
(512) 277-0676
(737) 250-7650
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
109881
TX
104100000X
Social Worker
109881
TX
1041C0700X
Clinical Social Worker
Primary
109881
TX
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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