Individual
MICHE'L MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS MFT
Contact information
Practice address
13309 WATERTOWN PLANK RD, ELM GROVE, WI 53122-2217
(262) 649-3297
Mailing address
13309 WATERTOWN PLANK RD, ELM GROVE, WI 53122-2217
(262) 649-3297
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
445-228
WI
Other
Enumeration date
06/26/2015
Last updated
06/26/2015
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