Organization
MOORE CONSULTING COUNSELING GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAQUEL MOORE MSW, LCSW (SOLE OWNER)
(404) 272-1293
Entity
Organization
Contact information
Practice address
2001 MARTIN LUTHER KING JR DR SW, SUITE 409, ATLANTA, GA 30310-1101
(404) 272-1293
Mailing address
484 HALWICK WAY, STONE MOUNTAIN, GA 30083-4377
(404) 272-1293
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW002692
GA
Other
Enumeration date
12/05/2016
Last updated
12/05/2016
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