Organization
MONIQUE RECHELLE DELAY MOORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE RECHELLE DELAY-MOORE (LICENSE CLINICAL SOCIAL WORKER)
(317) 809-0512
Entity
Organization
Contact information
Practice address
646 MILLRUN COURT, MACON, GA 31210
(317) 809-0512
Mailing address
646 MILLRUN COURT, MACON, GA 31210
(317) 809-0512
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CSW004960
GA
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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