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Individual
TASHIA MOORE
Active
Individual
TASHIA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
64999
TX
1041C0700X
Clinical Social Worker
Primary
114138
CA
1041C0700X
Clinical Social Worker
29354
MD
1041C0700X
Clinical Social Worker
64999
TX
1041C0700X
Clinical Social Worker
LW61386001
WA
Other
Enumeration date
06/13/2019
Last updated
10/19/2023
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