Individual
MS. LINDA MOORER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
(678) 212-6343
Mailing address
3483 RIVER MILL LN, ELLENWOOD, GA 30294-1359
(404) 241-0461
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000967
GA
Other
Enumeration date
08/29/2016
Last updated
08/29/2016
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