Individual
MISS SHIMENA RENAE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
500 MARKAVIEW RD NW, HUNTSVILLE, AL 35805-3652
(256) 535-3100
Mailing address
222 KYSER BLVD APT 9, MADISON, AL 35758-2305
(256) 541-0947
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3220G
AL
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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