Individual
MRS. HEATHER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7060 NW 47TH PL, LAUDERHILL, FL 33319-3408
(954) 952-6891
Mailing address
7060 NW 47TH PL, LAUDERHILL, FL 33319-3408
(954) 952-6891
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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