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Individual

MRS. KATHERINE RENEE MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCC-S

Contact information

Practice address
1659 SOUTH BREIEL BLVD, MIDDLETOWN, OH 45044-6705
(513) 424-0921
(513) 424-4810
Mailing address
1659 SOUTH BREIEL BLVD, MIDDLETOWN, OH 45044
(513) 424-0921
(513) 424-4810

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.0900160-S
OH

Other

Enumeration date
02/14/2012
Last updated
05/23/2019
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