Individual
MRS. LESLIE CORINNE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2380 HENRY ST, DYERSBURG, TN 38024-1847
(731) 287-1794
(731) 287-1795
Mailing address
2380 HENRY ST, DYERSBURG, TN 38024-1847
(731) 882-4730
(731) 287-1795
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7083
TN
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/06/2017
Last updated
03/27/2024
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