Individual
MS. SALLY ROBERTS MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MRC, LMFT
Contact information
Practice address
100 COLUMBIA ST, ORLANDO, FL 32806-1006
(407) 245-0014
(407) 245-0015
Mailing address
100 COLUMBIA ST, ORLANDO, FL 32806-1006
(407) 245-0014
(407) 245-0015
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MT655
FL
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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