Individual
TOMARA NICOLE MOXLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4115 LAKE AVE, ROCHESTER, NY 14612-4813
(585) 760-1032
Mailing address
31 RAEBURN AVE, ROCHESTER, NY 14619-1613
(585) 456-5879
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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