Individual
SUE V MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
448 TELFAIR ST, AUGUSTA, GA 30901-5811
(706) 722-7788
(706) 724-8300
Mailing address
448 TELFAIR ST, AUGUSTA, GA 30901-5811
(706) 722-7788
(706) 724-8300
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LPC 1326
GA
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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