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Individual

BRYANT LEE MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
251 ELM ST, CLAREMONT, NH 03743-4940
(603) 865-1321
Mailing address
21 MAIN ST APT 3, WEST LEBANON, NH 03784-1695
(205) 245-4624

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
10/16/2023
Last updated
10/16/2023
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