Individual
ANGELICA ROSE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
181 NORTH ST, HYANNIS, MA 02601-3846
(508) 760-0217
Mailing address
115 FOXGLOVE RD, CENTERVILLE, MA 02632-2021
(774) 836-4562
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
223435
MA
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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