Individual
DAWNYEL MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
220 W COLFAX AVE, SOUTH BEND, IN 46601-1695
(574) 546-1900
(574) 248-4074
Mailing address
220 W COLFAX AVE, SOUTH BEND, IN 46601-1695
(574) 546-1900
(574) 248-4074
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5156
KY
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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