Individual
MRS. LATANYA WHITE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
511 EIGHTH STREET, CENTERSTONE, CLARKSVILLE, TN 37040
(931) 920-7233
Mailing address
511 EIGHTH STREET, CENTERSTONE, CLARKSVILLE, TN 37040
(931) 920-7233
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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