AUDREY ELAINE MOORE

PRESCOTT, AZ
NPI1558043687
Former NameAUDREY STEWART
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AZ  22964)
Enumeration Date2023-08-07
Last Update Date2024-10-16
Business Address
AUDREY ELAINE MOORE LAC
702 W HILLSIDE AVE
PRESCOTT, AZ 86301-1913
Phone number: 855-746-3633
Mailing Address
AUDREY ELAINE MOORE LAC
5700 MARKET ST APT 2086
PRESCOTT VALLEY, AZ 86314-6517
Phone number: 208-505-8933
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