Individual
MICHELLE FLANAGAN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
133 PARK ST NE, VIENNA, VA 22180-4666
(703) 281-2657
Mailing address
515 N LITTLETON ST, ARLINGTON, VA 22203-1020
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701009091
VA
Other
Enumeration date
04/21/2020
Last updated
04/21/2020
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