Individual
MS. TANES R. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LLP
Contact information
Practice address
1333 BREWERY PARK BLVD, SUITE 300, DETROIT, MI 48207-4544
(313) 656-0030
(248) 406-1301
Mailing address
1333 BREWERY PARK BLVD, SUITE 300, DETROIT, MI 48207-4544
(313) 656-0030
(248) 406-1301
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301003299
MI
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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