Individual
ASHLEY MIMS MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
205 S SKINNER AVE UNIT B, POOLER, GA 31322
(912) 349-8043
Mailing address
205 S SKINNER AVE UNIT B, POOLER, GA 31322-3221
(912) 349-8043
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001331
GA
Other
Enumeration date
08/15/2013
Last updated
10/28/2019
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