Individual
MRS. LAURA KATHAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11925 FAIRLIE PL, RALEIGH, NC 27613-7842
(919) 360-7377
Mailing address
11925 FAIRLIE PL, RALEIGH, NC 27613-7842
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6771
NC
Other
Enumeration date
05/30/2013
Last updated
05/30/2013
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