Individual
TARA ELIZABETH MOORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1027 CRYSTAL ROAD, ISLAND FALLS, ME 04747-0474
(210) 996-1883
Mailing address
PO BOX 72, ISLAND FALLS, ME 04747-0072
(210) 996-1883
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
63058
TX
Other
Enumeration date
12/21/2023
Last updated
12/21/2023
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