Individual
MRS. MELORA L MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
732 KENNESAW AVE NW, MARIETTA, GA 30060-9406
(404) 997-3494
Mailing address
2354 ARABIAN DR NE, MARIETTA, GA 30062-4680
(423) 645-8065
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CSW007982
GA
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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