Individual
JOYCE MARIE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6600 VAN AALST BOULEVARD, MARTIN ARMY COMMUNITY HOSPITAL, FORT BENNING, GA 31905
(912) 977-9792
Mailing address
379 RIVERSIDE DR, JESUP, GA 31545-5337
(912) 977-9792
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW006382
GA
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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