MRS. Jennifer Pruitt Moore, L.P.C.
NPI #1184631582 in Statesville, North Carolina
Provider Information
- NPI Number
- 1184631582
- Entity Type
- Individual
- Name
- MRS. Jennifer Pruitt Moore, L.P.C.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- L.P.C.
- Enumeration Date
- Aug 1, 2006
- Last Updated
- Aug 11, 2017
Practice Location
- Address
- 524 SIGNAL HILL DRIVE EXT
- City
- Statesville
- State
- North Carolina
- ZIP Code
- 28625-4391
- Phone
- (704) 871-1045
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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