Individual
MRS. NASTASSIA JANEE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
10000 TOWN CENTER AVE APT 407, COLUMBIA, MD 21044-5444
(256) 714-8603
Mailing address
10000 TOWN CENTER AVE APT 407, COLUMBIA, MD 21044-5444
(256) 714-8603
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
26610
MD
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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