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1285266858
STEFANIE MOORE
TYRONE, GA
NPI
1285266858
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC011376)
Enumeration Date
2020-02-11
Last Update Date
2021-11-10
Business Address
STEFANIE MOORE LPC
100 LLOYD AVE STE E
TYRONE, GA 30290-2157
Phone number: 470-215-6101
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Mailing Address
STEFANIE MOORE LPC
147 HUNTERIAN PL
NEWNAN, GA 30265-5619
Phone number: 770-328-0490
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