Individual
ELIZABETH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2222 MARION MOUNT GILEAD RD, MARION, OH 43302-9125
(330) 201-3428
Mailing address
615 SUNBURY RD, DELAWARE, OH 43015-8657
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1600182
OH
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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