Individual
ALICE CAROLE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M H COUNSELOR
Contact information
Practice address
129 BARROW ST APT GB, NEW YORK, NY 10014-2833
(212) 627-2561
Mailing address
129 BARROW ST. APT GB, NEW YORK, NY 10014-2833
(212) 627-2561
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000842-1
NY
Other
Enumeration date
11/06/2009
Last updated
11/06/2009
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