Individual
JANET LARGE-MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHT
Contact information
Practice address
4304 6TH AVE, TACOMA, WA 98406-4033
(253) 224-4633
Mailing address
3125 43RD AVE NE, TACOMA, WA 98422-2806
(253) 224-4633
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
HP10000249
WA
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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