Individual
MRS. ELIZABETH AUTREY-MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 E BROAD ST STE D, FALLS CHURCH, VA 22046-4530
(703) 534-5100
Mailing address
124 E BROAD ST STE D, FALLS CHURCH, VA 22046-4530
(571) 453-7225
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704013215
VA
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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