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Individual

MS. AUDREY DURAND MOORE

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
703 THIMBLE SHOALS BLVD, SUITE A-3, NEWPORT NEWS, VA 23606-2576
(757) 873-2307
(757) 873-3401
Mailing address
703 THIMBLE SHOALS BLVD, SUITE A-3, NEWPORT NEWS, VA 23606-2576
(757) 873-2307
(757) 873-3401

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
07010022742
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0101102189
VA
Enumeration date
03/24/2006
Last updated
07/08/2007
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