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Individual

DARREN D MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
3025 UNIVERSITY AVE STE 202, COLUMBUS, GA 31907-2101
(612) 296-3758
(762) 359-7528
Mailing address
3025 UNIVERSITY AVE STE 202, COLUMBUS, GA 31907-2101
(612) 296-3758
(762) 359-7528

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001256
GA

Other

Enumeration date
10/17/2012
Last updated
01/17/2021
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