Individual
CATHRYN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
294 BROAD ST, RED BANK, NJ 07701-2152
(908) 601-5879
Mailing address
294 BROAD ST, RED BANK, NJ 07701-2152
(908) 601-5879
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05922400
NJ
Other
Enumeration date
04/04/2019
Last updated
10/24/2021
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