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Organization
PATIENCE MOORE, LCSW, LLC
Active
Organization
PATIENCE MOORE, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATIENCE MOORE LCSW (FOUNDER)
(973) 907-4755
Entity
Organization
Contact information
Practice address
460 BLOOMFIELD AVE STE 306, MONTCLAIR, NJ 07042-3552
(973) 907-4755
Mailing address
460 BLOOMFIELD AVE STE 306, MONTCLAIR, NJ 07042-3552
(973) 907-4755
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05641900
NJ
251S00000X
Community/Behavioral Health Agency
44SC05411900
NJ
251S00000X
Community/Behavioral Health Agency
44SC05641900
NJ
Other
Enumeration date
07/16/2018
Last updated
07/12/2019
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