Individual
MS. PEGGY A MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPCC
Contact information
Practice address
8 UNITY LN, FREEPORT, ME 04032-1021
(207) 865-4479
Mailing address
8 UNITY LN, FREEPORT, ME 04032-1021
(207) 865-4479
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL4707
ME
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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