Provider Information for 1043665714
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KAREN MOORE MS clinical psycholo
Sex: Female
NPI: 1043665714
Last Updated: 2024-03-15
Certification Date: 2024-03-15
Certification Date: 2024-03-15
Details
| Name | Value | ||||||||
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| NPI | 1043665714 | ||||||||
| Enumeration Date | 2016-04-29 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 7698 W WOODBRIDGE CIR APT 101 WESTLAND, MI 48185-7245 United States Phone: 734-778-7954 | Fax: | ||||||||
| Primary Practice Address | 7699 W WOODBRIDGE CIR #201 WESTLAND, MI 48185-7244 United States Phone: 734-778-7954 | Fax: | ||||||||
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