Individual
MELANIE MARIE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
641 RICE ST, ELMORE, OH 43416-9705
(419) 307-1545
Mailing address
641 RICE ST, ELMORE, OH 43416-9705
(419) 307-1545
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.0700444
OH
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
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