Individual
DR. ELIZABETH ANN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LCSW
Contact information
Practice address
2084 OLD TAYLOR RD, SUITE 107, OXFORD, MS 38655-5189
(662) 701-9851
Mailing address
2084 OLD TAYLOR RD, SUITE 107, OXFORD, MS 38655-5189
(662) 701-9851
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C8117
MS
174400000X
Specialist
991428
CO
Other
Enumeration date
09/20/2012
Last updated
06/09/2015
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