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Individual
MS. SUSAN ELAINE MOORE
Active
Individual
MS. SUSAN ELAINE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/05/2014
Last updated
10/16/2019
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