Individual
SHANAE CHARMA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED, M.S.
Contact information
Practice address
1502 SPRUCE AVE, WILMINGTON, DE 19805-2148
(302) 552-3797
Mailing address
1502 SPRUCE AVE, WILMINGTON, DE 19805-2148
(302) 552-3797
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
78716
DE
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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