Individual
ANASTASIA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820 PRUDENTIAL DR STE 512, JACKSONVILLE, FL 32207-8207
(904) 376-3800
Mailing address
PO BOX 748519, ATLANTA, GA 30374-8519
(904) 376-3800
(904) 376-3998
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW18395
FL
Other
Enumeration date
09/29/2016
Last updated
11/21/2025
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