Individual
CARMEN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2795 MAIN ST W, SNELLVILLE, GA 30078-3164
(678) 332-0074
Mailing address
5061 ASHLEY PL NW, ACWORTH, GA 30102-2592
(678) 332-0074
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/17/2017
Last updated
04/17/2017
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