Individual
RONDA DENISE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
8532 W CAPITOL DR, 200, MILWAUKEE, WI 53222-1848
(414) 435-1115
(414) 435-0435
Mailing address
8532 W CAPITOL DR, SUITE 200, MILWAUKEE, WI 53222-1848
(414) 435-1115
(414) 435-0543
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
128885-121
WI
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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