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Search › Texas › 104100000X

Mary Moore, LMSW

NPI 1861186769 · on the registry since 2023 · sole proprietor

Practice

Address
428 Centennial Pkwy
Tyler, TX 75703
Phone
(903) 266-5900
Organisation at this address
Dallas Vamc
Dallas Vamc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-06-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas