Individual
CHARLETHA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40849 FREMONT BLVD, FREMONT, CA 94538-4306
(510) 739-1945
(510) 739-6963
Mailing address
40849 FREMONT BLVD, FREMONT, CA 94538-4306
(510) 739-1945
(510) 739-6963
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/03/2011
Last updated
02/03/2011
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