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Individual

MS. PATRICIA MARIE MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW, CASAC2

Contact information

Practice address
15 FORTUNE RD W, MIDDLETOWN, NY 10941-1625
(888) 750-2266
Mailing address
103 LINCOLN CT, MILFORD, PA 18337-4434
(845) 421-1416

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
11/25/2020
Last updated
09/11/2025
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