Individual
TYLER LOUISE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHA
Contact information
Practice address
201 22ND ST, ASHLAND, KY 41101-7803
(606) 324-1141
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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