Individual
TAMARA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6381 SW 10TH ST, NORTH LAUDERDALE, FL 33068-2717
(954) 630-5741
Mailing address
6381 SW 10TH ST, NORTH LAUDERDALE, FL 33068-2717
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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