Individual
MS. VIVIAN BARBARA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.S.W., A.C.S.W
Contact information
Practice address
20600 EUREKA RD, SUITE 819, TAYLOR, MI 48180-5343
(734) 281-8282
(734) 281-0402
Mailing address
1183 ROLLING ACRES DR, BLOOMFIELD HILLS, MI 48302-2837
(248) 851-6284
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801061554
MI
Other
Enumeration date
09/04/2006
Last updated
07/08/2007
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