Individual
ELISABETH GRACE MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6736 BILL CARRUTH PKWY APT 901, HIRAM, GA 30141-3794
(404) 232-5421
Mailing address
3446 PARSONS GREENE CT, POWDER SPRINGS, GA 30127-4428
(404) 232-5421
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC014481
GA
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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