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Individual

MRS. DIANE D MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S. LPC

Contact information

Practice address
63 CHESTNUT RD, SUITE 9, PAOLI, PA 19301-1535
(610) 644-8182
(610) 644-9010
Mailing address
63 CHESTNUT RD STE 9, PAOLI, PA 19301-1535
(610) 644-8182
(610) 644-9010

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC003385
PA

Other

Enumeration date
02/13/2016
Last updated
02/13/2016
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