Individual
STACEY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
719 THOMPSON LN STE 30330, NASHVILLE, TN 37204-4701
(615) 936-2000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 936-2000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5929
TN
Other
Enumeration date
07/18/2019
Last updated
03/29/2022
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