VIRGINIA M MOORE

FORT WAYNE, IN
NPI1821011628
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IN  33000780A)
Enumeration Date2006-07-25
Last Update Date2007-07-08
Business Address
-- VIRGINIA M MOORE LMHC, LSW, MS Ed,
909 E STATE BLVD
FORT WAYNE, IN 46805-3404
Phone number: 260-481-2700
Mailing Address
-- VIRGINIA M MOORE LMHC, LSW, MS Ed,
909 E STATE BLVD
FORT WAYNE, IN 46805-3404
Phone number: 260-481-2700
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