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Organization
RESTOR8TION
Active
Organization
RESTOR8TION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ARDELLE MICHELLE MOORE LISW-S, LICDC-CS (CLINICAL SOCIAL WORKER)
(216) 849-3390
Entity
Organization
Contact information
Practice address
3631 PERKINS AVE, CLEVELAND, OH 44114-4705
(216) 849-3390
Mailing address
815 FROST RD APT 1001, STREETSBORO, OH 44241-4735
(216) 849-3390
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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