Individual
MRS. BARBARA ANN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
4108 LANTERN LN, VALDOSTA, GA 31602-6720
(229) 247-5763
Mailing address
4108 LANTERN LN, VALDOSTA, GA 31602-6720
(229) 247-5763
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0915
GA
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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