Individual
TANGEE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6523 CENTRALIA RD, CHESTERFIELD, VA 23832-6587
(804) 214-2260
(804) 214-2270
Mailing address
6523 CENTRALIA RD, CHESTERFIELD, VA 23832-6587
(804) 214-2260
(804) 214-2270
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904008953
VA
Other
Enumeration date
04/22/2015
Last updated
01/05/2017
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