Individual
MS. ANN THERESE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
104 MAPLE AVE, RED BANK, NJ 07701-1716
(732) 842-1589
Mailing address
54 BRUCE RD, RED BANK, NJ 07701-5605
(732) 842-1589
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05258100
NJ
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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