Individual
CAROL ANN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
139C E JACKSON AVE, MONTICELLO, AR 71655-4933
(870) 224-8108
(870) 224-2110
Mailing address
139C E JACKSON AVE, MONTICELLO, AR 71655-4933
(870) 224-8108
(870) 224-2110
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2124-C
AR
Other
Enumeration date
03/08/2007
Last updated
09/17/2018
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