Individual
KAYTLIN DAE-JOYCE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
26180 OUTER DR, LINCOLN PARK, MI 48146-2084
(313) 389-7500
Mailing address
26180 OUTER DR, LINCOLN PARK, MI 48146-2084
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
178013620
IL
101Y00000X
Counselor
Primary
6451022094
MI
Other
Enumeration date
08/03/2018
Last updated
06/26/2022
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