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Individual

MICHELLE MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
100 E AVENUE A, KILLEEN, TX 76541-4763
(254) 526-4146
Mailing address
1120 SIERRA VISTA DR, GATESVILLE, TX 76528-3986
(254) 844-3207

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
203080
TX

Other

Enumeration date
12/06/2019
Last updated
12/06/2019
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