Individual
CHERI B. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
4933 BENCHMARK CENTRE DR STE E, SWANSEA, IL 62226-8927
(757) 615-9985
Mailing address
4933 BENCHMARK CENTRE DR STE E, SWANSEA, IL 62226-8927
(757) 615-9985
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150113658
IL
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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