Individual
MRS. LAURA ANN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1014 N GLOSTER ST STE F, TUPELO, MS 38804-1239
(662) 694-0260
Mailing address
1014 N GLOSTER ST STE F, TUPELO, MS 38804-1239
(662) 694-0260
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1505
MS
Other
Enumeration date
08/04/2011
Last updated
01/12/2023
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