Individual
MR. GREGORY D MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFTA
Contact information
Practice address
33507 9TH AVE S, SUITE C - 2, FEDERAL WAY, WA 98003-6397
(253) 205-5966
Mailing address
33507 9TH AVE S, SUITE C - 2, FEDERAL WAY, WA 98003-6397
(253) 205-5966
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MG60231748
WA
Other
Enumeration date
08/05/2011
Last updated
08/05/2011
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