Individual
CONSTANCE B MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2365 CENTERVILLE RD STE 11, TALLAHASSEE, FL 32308-4317
(850) 425-5025
(850) 425-5026
Mailing address
6143 HUNTER WOODS LN, TALLAHASSEE, FL 32311-9004
(850) 524-5048
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW5321
FL
Other
Enumeration date
04/20/2007
Last updated
12/12/2019
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