Individual
AMIYA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1905 J N PEASE PL STE 103, CHARLOTTE, NC 28262-4509
(704) 910-0136
Mailing address
11124 FRONT PORCH AVE APT 31103, CHARLOTTE, NC 28227-8332
(980) 621-6609
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P020527
NC
Other
Enumeration date
10/11/2025
Last updated
10/11/2025
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