Individual
RAQUEL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
20 WHITLOCK, MARIETTA, GA 30033-4004
(678) 797-9960
Mailing address
484 HALWICK WAY, STONE MOUNTAIN, GA 30083-4377
(404) 299-9960
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW002692
GA
Other
Enumeration date
01/23/2007
Last updated
04/15/2019
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