Individual
LINDA JOYCE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21700 NORTHWESTERN HWY, SUITE 750, SOUTHFIELD, MI 48075-4906
(248) 559-5558
(248) 559-6708
Mailing address
6015 GLEN EAGLES DR, WEST BLOOMFIELD, MI 48323-2211
(248) 681-0991
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401002229
MI
101YP2500X
Professional Counselor
6401002229
MI
Other
Enumeration date
10/04/2006
Last updated
09/23/2024
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