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Organization

CASSANDRE MOORE LCSW LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CASSANDRE MOORE LCSW (OWNER)
(208) 861-7448
Entity
Organization

Contact information

Practice address
671 E RIVERPARK LN STE 100, BOISE, ID 83706-4000
(208) 861-7448
Mailing address
999 N SLATER CRK, BOISE, ID 83716-5015
(208) 861-7448

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
03/11/2019
Last updated
09/21/2020
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