Individual
JULIE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
150 W MAIN ST # 330, GALLATIN, TN 37066-3251
(615) 451-0250
Mailing address
121 BROOKS LN, PORTLAND, TN 37148-4949
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6479
TN
Other
Enumeration date
05/30/2017
Last updated
05/30/2017
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