Individual
DIANA R MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2020 BROWN ST, ANDERSON, IN 46016-4218
(765) 649-8161
(765) 641-8274
Mailing address
PO BOX 1258, ANDERSON, IN 46015-1258
(765) 649-8161
(765) 641-8274
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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