Individual
COURTENAY ELIZABETH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A
Contact information
Practice address
119 BRIDGE ST, BEVERLY, MA 01915-2827
(978) 471-9112
Mailing address
119 BRIDGE ST, BEVERLY, MA 01915-2827
(978) 471-9112
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/26/2011
Last updated
05/26/2011
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