Individual
MS. SALLY BETH MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
30 CUMBERLAND ST, WOONSOCKET, RI 02895-3341
(401) 775-1500
Mailing address
1 SILO LN, COVENTRY, RI 02816-8251
(401) 935-9342
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW02047
RI
Other
Enumeration date
06/26/2008
Last updated
03/21/2014
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