Individual
PRISCILLA HOPE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
815 E 63RD PL, INDIANAPOLIS, IN 46220-1885
(317) 762-5952
Mailing address
11332 FIDDLERS CREEK PASS APT 100, FISHERS, IN 46037-4740
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
99112247A
IN
Other
Enumeration date
10/24/2022
Last updated
10/31/2024
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