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Individual

MRS. EDITH M MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
1300 E. MISSOURI AVE. SUITE A-100, FAMILY RESOURCE & RECOVERY CENTER, PHOENIX, AZ 85014
(602) 265-3099
(602) 265-3123
Mailing address
1300 E. MISSOURI AVE. SUITE A-100, FAMILY RESOURCE & RECOVERY CENTER, PHOENIX, AZ 85014
(602) 265-3099
(602) 265-3123

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LAC 13130
AZ

Other

Enumeration date
02/11/2009
Last updated
08/05/2010
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