Individual
ALYZA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 W 4TH ST APT 12, CINCINNATI, OH 45202-2653
(512) 879-8213
Mailing address
330 W 4TH ST APT 12, CINCINNATI, OH 45202-2653
(512) 879-8213
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.2305000
OH
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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