Individual
SARAH KATHERINE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6858 SWINNEA RD BLDG 7, SOUTHAVEN, MS 38671-9493
(901) 250-2730
Mailing address
6858 SWINNEA RD BLDG 7, SOUTHAVEN, MS 38671-9493
(901) 250-2730
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2694
MS
Other
Enumeration date
07/26/2021
Last updated
07/27/2021
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