Individual
DESIRAE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
955 N MICHIGAN AVE, GREENSBURG, IN 47240-1487
(812) 222-3627
Mailing address
7035 N COUNTY ROAD 550 E, RUSHVILLE, IN 46173-9601
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33008693A
IN
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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