Individual
LAROY J MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYS
Contact information
Practice address
10320 COTTONWOOD PARK NW STE A, ALBUQUERQUE, NM 87114-7008
(505) 250-5204
Mailing address
4931 KATHRYN CIR SE, ALBUQUERQUE, NM 87108-3501
(505) 436-6684
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
349297
NM
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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