Individual
MRS. CHRISTALEE M MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
660 WINCHESTER AVE, NEW HAVEN, CT 06511-1969
(203) 776-8390
Mailing address
363 NORTON ST, NEW HAVEN, CT 06511-7115
(203) 747-0054
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
261QM0801X
CT
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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