Individual
MRS. ANGELA CHARICE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4581 S LAPEER RD STE F, ORION, MI 48359-2415
(248) 309-3464
Mailing address
4581 S LAPEER RD STE F, ORION, MI 48359-2415
(248) 309-3464
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401015587
MI
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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