Individual
CAROLYN SUE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
523 DIXIE ST, CARROLLTON, GA 30117-3870
(678) 372-9979
Mailing address
1086 MAGNOLIA DR, VILLA RICA, GA 30180-3953
(678) 372-9979
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
1795995
GA
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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