Individual
MR. MICHAEL DAVID MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., L.L.P.C.
Contact information
Practice address
7737 KERCHEVAL ST, DETROIT, MI 48214-2437
(313) 925-1135
(313) 925-2508
Mailing address
15945 ADDISON ST, SOUTHFIELD, MI 48075-6902
(313) 925-1135
(313) 925-2508
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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