Individual
MS. CORRINNE ELIZABETH MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 S ROAN ST STE 425, JOHNSON CITY, TN 37601-7587
(423) 232-6281
Mailing address
2700 S ROAN ST STE 425, JOHNSON CITY, TN 37601-7587
(423) 232-6281
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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