Individual
TARA LEIGH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
420 28TH AVE, SUITE 200, TUSCALOOSA, AL 35401-1088
(205) 737-3720
Mailing address
420 28TH AVE, SUITE 200, TUSCALOOSA, AL 35401-1088
(205) 737-3720
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3430-G
AL
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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