Individual
MRS. BALIQIS OLAWALE-MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
312 W MILLBROOK RD STE 129, RALEIGH, NC 27609-4398
(919) 877-6101
Mailing address
PSC 1 BOX 5607, APO, AE 09009-0057
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P020924
NC
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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