Individual
ELIZABETH LEE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1020 DORTCH LN, NOLENSVILLE, TN 37135-9704
(615) 289-5316
Mailing address
1020 DORTCH LN, NOLENSVILLE, TN 37135-9704
(615) 289-5316
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7992
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q073625
—
TN
Enumeration date
03/01/2021
Last updated
04/02/2025
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