Individual
MICHELLE BEATRICE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
17 NEW SOUTH ST, SUITE 116, NORTHAMPTON, MA 01060-4073
(413) 582-0471
(413) 582-1807
Mailing address
17 NEW SOUTH ST, SUITE 116, NORTHAMPTON, MA 01060-4073
(413) 582-0471
(413) 582-1807
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
313749
MA
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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