Individual
VICTORIA LYNN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28 ROSEDALE TER, DANVILLE, WV 25053-9628
(304) 688-7220
Mailing address
28 ROSEDALE TER, DANVILLE, WV 25053-9628
(304) 688-7220
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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