Individual
MRS. RACQUEL DENISE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
137 N ERWIN ST, CARTERSVILLE, GA 30120-3123
(678) 977-6313
Mailing address
1483 WILLIS LAKE DR NW, KENNESAW, GA 30152-6023
(678) 977-6313
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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