Individual
MISS LESLIE ANNETTE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BASW
Contact information
Practice address
777 BLOOMFIELD AVE, CLIFTON, NJ 07012-1242
(973) 594-0536
Mailing address
70 FALMOUTH AVE, ELMWOOD PARK, NJ 07407-1644
(551) 404-1582
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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