Individual
ANNA-MAE EVANGELINE CONRAD MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
58923 BUSINESS CENTER DR STE A-E, YUCCA VALLEY, CA 92284-7311
(760) 365-7209
Mailing address
58923 BUSINESS CENTER DR STE A-E, YUCCA VALLEY, CA 92284-7311
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ASW108530
CA
1041C0700X
Clinical Social Worker
ASW108530
CA
Other
Enumeration date
07/18/2022
Last updated
07/20/2022
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