Individual
MRS. ELIZABETH JANE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
209 SENECA AVE, BYESVILLE, OH 43723-1364
(740) 685-1610
Mailing address
1185 TWYMAN HILL RD, BLUE ROCK, OH 43720-9754
(740) 891-0416
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
S0006861
OH
Other
Enumeration date
06/24/2016
Last updated
06/24/2016
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