Individual
MRS. MOLLY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7925 S BROADWAY AVE STE 820, TYLER, TX 75703-5255
(903) 561-8955
(903) 561-8895
Mailing address
7925 S BROADWAY AVE STE 820, TYLER, TX 75703-5255
(903) 561-8955
(903) 561-8895
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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