Individual
MRS. MONICA ANNE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA L.L.P.
Contact information
Practice address
18940 OAK DR, DETROIT, MI 48221-2264
(313) 268-7709
Mailing address
18940 OAK DR, DETROIT, MI 48221-2264
(313) 268-7709
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301009529
MI
Other
Enumeration date
12/22/2009
Last updated
12/22/2009
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