Individual
MS. VERONICA MOUTON MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, BCD
Contact information
Practice address
2433 E DEL RIO DR, TEMPE, AZ 85282-4132
(480) 248-8082
Mailing address
2433 E DEL RIO DR, TEMPE, AZ 85282-4132
(480) 248-8082
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
05607
MD
1041C0700X
Clinical Social Worker
Primary
12019
AZ
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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