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1083964498
KELLY LYNN MOORE
GASTONIA, NC
NPI
1083964498
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC A8816)
Enumeration Date
2012-09-12
Last Update Date
2012-09-12
Business Address
-- KELLY LYNN MOORE LPCA
813 S OAKLAND ST STE A
GASTONIA, NC 28054-0474
Phone number: 704-868-4132
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Mailing Address
-- KELLY LYNN MOORE LPCA
1825 NASSAU BLVD
CHARLOTTE, NC 28205-3025
Phone number: 704-451-4332
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