Individual
DARRI K MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7336 TIDERACE CT, PALMETTO, GA 30268-9701
(404) 422-9834
Mailing address
7336 TIDERACE CT, PALMETTO, GA 30268-9701
(404) 422-9834
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/11/2017
Last updated
07/03/2024
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