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Individual

ELIZABETH MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
315 NEW RIVER RD, MANVILLE, RI 02838-1817
(401) 769-0261
Mailing address
10 BRIARWOOD RD, LINCOLN, RI 02865-1003

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
1029402
MA

Other

Enumeration date
08/23/2018
Last updated
08/23/2018
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