TRACEY MOORE
Counselor
Active
Individual
NPI: 1184105090
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor | 101Y00000X | Yes | - |
Frequently Asked Questions
NPI 1184105090 is the National Provider Identifier for TRACEY MOORE, a Counselor provider located in South Bend, IN. This NPI was enumerated on August 28, 2018.
TRACEY MOORE practices at 415 E MADISON ST, South Bend, IN 46617.
Quick Facts
- NPI
- 1184105090
- Type
- Individual
- Enumerated
- Aug 28, 2018
- Last Updated
- Aug 28, 2018
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