Individual
MS. GLORIA A MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1135 CARTER ST, COLUMBIA, SC 29204-2811
(803) 786-1183
Mailing address
417 WILLOW OAK DR, COLUMBIA, SC 29223-7971
(803) 917-7251
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/20/2010
Last updated
08/20/2010
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