Provider Information for 1851055727
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Ms. LAURA NATALIE MOORE LCMHC
Sex: Female
NPI: 1851055727
Last Updated: 2021-10-27
Certification Date: 2021-10-27
Certification Date: 2021-10-27
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1851055727 | ||||||||
| Enumeration Date | 2021-10-27 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3007 SALIX BEND DR CHARLOTTE, NC 28205-6081 United States Phone: 910-309-0997 | Fax: | ||||||||
| Primary Practice Address | 3007 SALIX BEND DR CHARLOTTE, NC 28205-6081 United States Phone: 910-309-0997 | Fax: | ||||||||
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