Individual
DR. LAFACIAL WILSON MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
924 MONTCLAIR RD, SUITE 106, BIRMINGHAM, AL 35213-1211
(205) 218-9398
Mailing address
924 MONTCLAIR RD, SUITE 106, BIRMINGHAM, AL 35213-1211
(205) 218-9398
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2364
AL
Other
Enumeration date
05/18/2007
Last updated
01/13/2017
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