Individual
JENNIFER C MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W., L.C.S.W.
Contact information
Practice address
7180 CASCADE VALLEY CT STE 200, LAS VEGAS, NV 89128-0481
(702) 240-8639
(702) 240-6970
Mailing address
PO BOX 370763, LAS VEGAS, NV 89137-0763
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2948C
NV
Other
Enumeration date
04/03/2007
Last updated
12/28/2020
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