Individual
SONDRA RAE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1288 VALLEY FORGE RD, PHOENIXVILLE, PA 19460-2687
(610) 933-9440
Mailing address
114 PLAZA DR, APT. 101, DOWNINGTOWN, PA 19335-3308
(215) 680-1152
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC007410
PA
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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