Individual
MRS. MICHELLE ANN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3256 SOUTHERN DR STE 461, GARLAND, TX 75043-1533
(214) 385-5445
Mailing address
1046 SHEPARD LN, LAVON, TX 75166-1874
(214) 914-0944
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/22/2019
Last updated
05/17/2023
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