Individual
JESSICA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 COURT ST, NORWICH, NY 13815-1695
(607) 337-1653
Mailing address
5 COURT ST, NORWICH, NY 13815-1695
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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