Individual
MATTHEW T MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 N PIKE W, SUMTER, SC 29153-1906
(803) 775-9364
Mailing address
801 N PIKE W, SUMTER, SC 29153-1906
(803) 775-9364
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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