Individual
PATRICE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 337-3400
(414) 337-3409
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 337-3400
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326333642
—
WI
Enumeration date
06/15/2011
Last updated
03/11/2022
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