Individual
ELISABETH ANN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1900 WESTRIDGE RD, CARLSBAD, NM 88220-3550
(575) 725-5552
(575) 725-5552
Mailing address
PO BOX 3141, CARLSBAD, NM 88221-3141
(575) 725-5552
(575) 725-5552
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M-06972
NM
104100000X
Social Worker
X-06317
NM
1041C0700X
Clinical Social Worker
Primary
C-07640
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42630282
—
NM
Enumeration date
09/11/2008
Last updated
03/19/2025
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