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ELIZABETH MOORE LPC 1609876457

Overview
Name: ELIZABETH MOORE LPC Specialty: Professional Counselor Type of Practice: Individual provider Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Behavioral Health & Social Service Providers Classification: Counselor Specialization: Professional. Definition of Specialty: Definition to come…
License & NPI
License #(s): 14291, , , , License State(s): TX, , , ,
Addresses
Practice Location: 901 WALLACE BLVD,BLDG. 501,AMARILLO,TX,791061705,US Mailing Address: 901 WALLACE BLVD,BLDG. 501,AMARILLO,TX,791061705,US
Contact #
Practice location phone #: 8063495646 Practice location fax #: Mailing address Phone #: 8063495646 Mailing Address fax #: Authorized official Name/Telephone #:
Misc
Date NPI was obtained: 07/22/2005 Last data data was updated: 07/09/2007 Insurances:
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