MRS. Tom Leroy Moore, MFT

NPI #1972705028 in French Camp, California

Provider Information

NPI Number: 1972705028
Entity Type: Individual
Name: MRS. Tom Leroy Moore, MFT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Marriage & Family Therapist
Credential: MFT
Enumeration Date: Jun 1, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 7000 MICHAEL CANLIS WAY
City: French Camp
State: California
ZIP Code: 95231-9781
Phone: (209) 468-5505

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Marriage & Family Therapist	106H00000X	Primary

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