Individual
JENNIFER ELDER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1244 CLAIRMOUNT RD. #101, DECATUR, GA 30030
(404) 658-1222
Mailing address
625 ELMWOOD DR NE, ATLANTA, GA 30306-3643
(404) 658-1222
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW011468
GA
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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