Individual
MR. SCOTT B. MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
222 MCKEE ST, MANCHESTER, CT 06040-4800
(860) 647-1162
Mailing address
222 MCKEE ST, MANCHESTER, CT 06040-4800
(860) 647-1162
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000528
CT
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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