Individual
DANIELLE M MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 COMMERCIAL LN, SUFFOLK, VA 23434-8148
(757) 262-6690
Mailing address
1000 COMMERCIAL LN, SUFFOLK, VA 23434-8148
(757) 262-6690
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904013455
VA
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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