Individual
JASMYN LYNN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 CORPORATE CENTER CT UNIT 200-A, GREENSBORO, NC 27408-2033
(336) 257-0404
Mailing address
8 RASHEEDA CT, GREENSBORO, NC 27406-3846
(336) 383-2613
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12252A
NC
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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