Individual
MS. ELLEN KAY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4549 CHAMBLEE DUNWOODY RD, ATLANTA, GA 30338-6210
(770) 677-9315
(770) 677-9400
Mailing address
4549 CHAMBLEE DUNWOODY RD, ATLANTA, GA 30338-6210
(770) 677-9315
(770) 677-9400
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CSW001307
GA
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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