Individual
SHERRY VON MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ALC
Contact information
Practice address
400 OFFICE PARK DR STE 230, MOUNTAIN BRK, AL 35223-3410
(205) 617-6638
(205) 905-7099
Mailing address
400 OFFICE PARK DR STE 230, MOUNTAIN BRK, AL 35223-3410
(205) 490-6597
(205) 905-7099
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C2717A
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
832197896
—
AL
Enumeration date
10/15/2021
Last updated
10/15/2021
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