Individual
CHERYL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AS
Contact information
Practice address
1 ARCH PL, GREENFIELD, MA 01301-2457
(413) 774-1000
Mailing address
17 OFF LARIVIERE AVE, THREE RIVERS, MA 01080-1172
(413) 774-1000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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