Individual
ASHLEY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29 LINCOLN PLZ, BRANCHLAND, WV 25506-9786
(304) 824-3244
(304) 824-3245
Mailing address
29 LINCOLN PLZ, BRANCHLAND, WV 25506-9786
(304) 824-3244
(304) 824-3245
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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