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Individual

CATHI L MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
915 E MCLEMORE AVE STE 107, MEMPHIS, TN 38106-3316
(901) 930-7397
Mailing address
207 N AVALON ST, MEMPHIS, TN 38112-5101
(901) 634-4975

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW0000011048
TN
1041C0700X
Clinical Social Worker
LSW0000007572
TN

Other

Enumeration date
11/19/2016
Last updated
07/27/2022
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