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NPI Code Detail

MEDICARE: ABIGAIL POORE

MEDICARE: ABIGAIL POORE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1538003751
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGAIL POORE
Provider Business Mailing Address
First Line : 3615 WOODCREST CIR NW
Second Line :
City : CLEVELAND
State : TN
Zip : 37312-3810
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3615 WOODCREST CIR NW
Second Line :
City : CLEVELAND
State : TN
Zip : 37312-3810
Country : US
Telephone Number : 205-577-0894
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2026
Last Update Date : 04/17/2026

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Directions to “ ABIGAIL POORE ” Practice Location

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