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Individual

SHIRLEY LUONG MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
9211 FOREST HILL AVE, RICHMOND, VA 23235-6874
(757) 296-0800
Mailing address
4114 HILLCREST RD, RICHMOND, VA 23225-3312
(804) 332-7865

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701012555
VA

Other

Enumeration date
07/19/2023
Last updated
07/19/2023
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