Individual
STEPHANIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 AUGUSTA DR, SUITE 372, HOUSTON, TX 77057-4922
(713) 785-7575
(888) 979-9976
Mailing address
5609 AUTUMN GROVE LN, ROSHARON, TX 77583-2386
(832) 687-3896
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
201197
TX
Other
Enumeration date
11/01/2013
Last updated
11/01/2013
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