Individual
MARGARET O'GRADY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2121 W TEMPLE ST, LOS ANGELES, CA 90026-4915
(323) 491-5178
Mailing address
2121 W TEMPLE ST, LOS ANGELES, CA 90026-4915
(323) 491-5178
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5491
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01536011
MEDI-CAL
CA
Enumeration date
02/26/2018
Last updated
05/21/2019
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