Organization
MORIARTY-EDGEWOOD SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMAAL AUSTIN MOORE LMSW (SCHOOL SOCAIL WORKER)
(757) 450-9804
Entity
Organization
Contact information
Practice address
200 CENTER DR., ALBUQUERQUE, NM 87035
(505) 832-5817
Mailing address
4501 MORRIS ST NE, APT 2117, ALBUQUERQUE, NM 87111-3790
(757) 450-9804
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
X-07138
NM
Other
Enumeration date
09/24/2010
Last updated
09/24/2010
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