Individual
HEATHER MCMOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
919 LAFOND AVE, SAINT PAUL, MN 55104-2108
(651) 642-4000
Mailing address
3537 4TH AVE S, APT 2, MINNEAPOLIS, MN 55408-4528
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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