Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor |
NPI | 1225692262 |
---|---|
Provider Name | Mr. Pierre Armand Moreau |
First Address | Miramar, FL 33027-4459 |
Second Address | Miramar, FL 33027-4459 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2019 |
Last Update Date | 25/04/2019 |