MISS Valaire Latrisha Moore

NPI #1124642855 in Jackson, Georgia

Provider Information

NPI Number
1124642855
Entity Type
Individual
Name
MISS Valaire Latrisha Moore
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Enumeration Date
May 28, 2020
Last Updated
Mar 28, 2023

Practice Location

Address
130 CAMELLIA CT
State
Georgia
ZIP Code
30233-1108
Phone
(770) 570-7830

Specialties & Taxonomy Codes

Specialty
Behavior Technician
Counselor

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