Individual
LATRENIA SOMONE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
811 HIDDEN SPRING DR APT C, CLARKSVILLE, TN 37042-1638
(920) 587-7320
Mailing address
811 HIDDEN SPRING DR APT C, CLARKSVILLE, TN 37042-1638
(920) 587-7320
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
KY
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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