Individual
MISS LATANYA RENEE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
3216 ZEBULON RD, ROCKY MOUNT, NC 27804-2435
(252) 985-3216
(252) 985-3210
Mailing address
3216 ZEBULON RD, ROCKY MOUNT, NC 27804-2435
(252) 985-3216
(252) 985-3210
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1471
NC
Other
Enumeration date
11/04/2012
Last updated
11/04/2012
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