MS. Susanna Moore, MSM LPC

NPI #1770258766 in Upper Darby, Pennsylvania

Provider Information

NPI Number: 1770258766
Entity Type: Individual
Name: MS. Susanna Moore, MSM LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: MSM LPC
Enumeration Date: Aug 11, 2021
Last Updated: Aug 11, 2021

Practice Location

Address: 6930 MARKET ST FL 2
City: Upper Darby
State: Pennsylvania
ZIP Code: 19082-2308
Phone: (484) 469-4319

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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