Individual
SHEMINA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 ROBESON ST, FAYETTEVILLE, NC 28301-5635
(910) 321-0069
Mailing address
6086 CHARLES AVE, FAYETTEVILLE, NC 28311-1286
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3522-A
NC
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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