Individual
MS. ANGELA MARIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
455 E DUBLIN GRANVILLE RD, SUITE G, WORTHINGTON, OH 43085-3126
(740) 344-4056
Mailing address
455 E DUBLIN GRANVILLE RD, SUITE G, WORTHINGTON, OH 43085-3126
(740) 334-4056
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1700308
OH
1041C0700X
Clinical Social Worker
S0800831
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0200008
—
OH
Enumeration date
01/15/2009
Last updated
04/17/2017
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