Individual
LATRESSA AALIYAH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 E TRINITY PL, DECATUR, GA 30030-3302
(404) 378-2300
Mailing address
158 PAPER MILL RD APT 9208, LAWRENCEVILLE, GA 30046-5354
(229) 225-8711
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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