Organization
JENNIFER C MOORE MSW LCSW INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER CLAIRE MOORE LCSW (PRESIDENT)
(702) 240-8639
Entity
Organization
Contact information
Practice address
7180 CASCADE VALLEY CT STE 200, LAS VEGAS, NV 89128-0481
(702) 240-8639
(702) 240-6970
Mailing address
PO BOX 370763, LAS VEGAS, NV 89137-0763
(702) 691-1920
(702) 240-6970
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2948C
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100511332
—
NV
Enumeration date
10/14/2008
Last updated
12/28/2020
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