Individual
JULIE RAE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1340 S WALDRON RD, FORT SMITH, AR 72903-2556
(479) 452-5040
(479) 452-5047
Mailing address
PO BOX 23070, BARLING, AR 72923-0070
(479) 452-5040
(479) 452-5047
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6681-C
AR
101YM0800X
Mental Health Counselor
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—
Other
Enumeration date
08/01/2011
Last updated
07/21/2022
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