Individual
ALICE ROSE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, PHD
Contact information
Practice address
515 28 3/4 RD, GRAND JUNCTION, CO 81501
(970) 241-6023
(970) 242-8303
Mailing address
715 HORIZON DR STE 225, GRAND JUNCTION, CO 81506-8743
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
28154
CA
Other
Enumeration date
01/03/2011
Last updated
12/10/2018
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