Tammy Lynn Moore

NPI #1962771394 in Columbus, Ohio

Provider Information

NPI Number
1962771394
Entity Type
Organization
Organization Name
Tammy Lynn Moore
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Dec 13, 2011
Last Updated
Dec 13, 2011

Practice Location

Address
1200 W 5TH AVE STE 102D
State
Ohio
ZIP Code
43212-2503
Phone
(614) 398-1180

Authorized Official

Name
TAMMY LYNN MOORE
Title
CLINICAL SOCIAL WORKER
Phone
(614) 398-1180

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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