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Individual

MR. DAVID MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, LMHC

Contact information

Practice address
857 SUNRISE BLVD, WATERLOO, IA 50701-4949
(319) 800-5564
Mailing address
104 BROOKERIDGE DR # 132, WATERLOO, IA 50702-5702
(319) 214-3194
(319) 774-0026

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
093761
IA

Other

Enumeration date
11/15/2021
Last updated
11/18/2024
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