Individual
CHEVELLE JONES-MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1453 S STATE ST, SYRACUSE, NY 13205-1137
(315) 720-6428
Mailing address
PO BOX 14, EAST SYRACUSE, NY 13057-0014
(315) 720-6428
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
052617-01
NY
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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