Individual
NANCY KAY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
118 AVENUE C, CLOQUET, MN 55720-1546
(218) 878-9352
(218) 878-9342
Mailing address
118 AVENUE C, CLOQUET, MN 55720-1546
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC02491
MN
Other
Enumeration date
07/24/2020
Last updated
07/24/2020
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