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Individual
NANCY MOORE
Active
Individual
NANCY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L I C S W
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1021424
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1854780
—
MA
01
—
2143391
CIGNA BEH. HEALTH
MA
01
—
231145
COM PSYCH
MA
01
—
334612
MHN/TRICARE CHAMPUS
MA
01
—
424872
HARVARD/PILGRIM
MA
01
—
62-92900
UNITED HEALTH CARE OF N.E
MA
01
—
642208
TUFTS
MA
01
—
PO6437
BLUE CROSS BLUE SHIELD
MA
Enumeration date
07/27/2006
Last updated
05/16/2008
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