Individual
MARIAH DEE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 ANDERSON AVE STE D110, MANHATTAN, KS 66503-7603
(785) 539-5455
Mailing address
3902 STONE CREEK CT, MANHATTAN, KS 66503-7596
(316) 519-0766
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
03654-T
KS
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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