Individual
JENNIFER MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8107 MANDERVILLE LN APT 1119, DALLAS, TX 75231-3869
(469) 245-9369
Mailing address
8107 MANDERVILLE LN APT 1119, DALLAS, TX 75231-3869
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
203540
TX
Other
Enumeration date
03/19/2022
Last updated
04/01/2022
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