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Individual

ASHLEY NICOLE MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED

Contact information

Practice address
441 PINEY DR, CLARKSVILLE, TN 37042-6192
(931) 588-9461
Mailing address
441 PINEY DR, CLARKSVILLE, TN 37042-6192
(931) 588-9461

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
262193
KY
101Y00000X
Counselor
Primary
66559
TX

Other

Enumeration date
01/02/2013
Last updated
05/18/2022
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