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Individual

DR. DEBRA L. MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
805 CHURCH ST, DECATUR, GA 30030-1870
(404) 321-7073
(404) 377-6798
Mailing address
805 CHURCH ST, DECATUR, GA 30030-1870
(404) 321-7073
(404) 377-6798

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY002527
GA

Other

Enumeration date
08/05/2006
Last updated
07/08/2007
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