Individual
MS. ENID ALEXANDRA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3176 CANVASBACK LN, YPSILANTI, MI 48197-8734
(734) 377-8841
Mailing address
40946 CROSSBOW CIR APT 201, CANTON, MI 48188-3156
(734) 377-8841
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/23/2017
Last updated
11/21/2023
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