Individual
NICOLE L MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1450 BOYSON RD STE C1, HIAWATHA, IA 52233-2323
(319) 382-8660
(319) 382-8693
Mailing address
1450 BOYSON RD STE C1, HIAWATHA, IA 52233-2323
(319) 382-8660
(193) 828-6933
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
090952
IA
Other
Enumeration date
08/21/2020
Last updated
09/13/2022
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