Individual
GENAI MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8329 MINDALE CIR APT B, WINDSOR MILL, MD 21244-2119
(410) 841-9984
Mailing address
8329 MINDALE CIR APT B, WINDSOR MILL, MD 21244-2119
(410) 841-9984
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20999
MD
Other
Enumeration date
07/04/2023
Last updated
07/04/2023
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