Individual
MS. CAROL ANNE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
160 BENMONT AVE, BENNINGTON, VT 05201-1873
(802) 442-3520
(802) 447-3392
Mailing address
160 BENMONT AVE, BENNINGTON, VT 05201-1873
(802) 442-3520
(802) 447-3392
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
047-0000524
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006792
—
VT
Enumeration date
12/27/2006
Last updated
07/08/2007
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