Individual
JACQUELINE JUNE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43 ASHFIELD DR, LITTLESTOWN, PA 17340-9527
(410) 591-8526
Mailing address
43 ASHFIELD DR, LITTLESTOWN, PA 17340-9527
(410) 591-8526
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
04638
MD
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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