Individual
MRS. GAIL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
977A TAYLOR ST SW, CONYERS, GA 30012-5357
(770) 918-6677
(770) 918-6686
Mailing address
2480 HILLSIDE AVE, DECATUR, GA 30032-4125
(770) 918-6677
(770) 918-6686
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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