Individual
MRS. MONIQUE R DELAY-MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4116 ARKWRIGHT RD STE 1, MACON, GA 31210-1707
(478) 216-5534
(478) 333-2173
Mailing address
PO BOX 6619, MACON, GA 31208-6619
(317) 809-0512
(478) 333-2173
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004960
GA
251S00000X
Community/Behavioral Health Agency
004960
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003163200A
—
GA
Enumeration date
12/03/2008
Last updated
02/01/2022
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