Individual
VALERIE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 PARKER ST, MANCHESTER, CT 06042-3632
(860) 999-3040
Mailing address
300 PARKER ST, MANCHESTER, CT 06042-3632
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5480
CT
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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