Individual
ELIZABETH A MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
2256 ROHRER ST NW, NORTH CANTON, OH 44720-5745
(330) 718-3225
Mailing address
2256 ROHRER ST NW, NORTH CANTON, OH 44720-5745
(330) 718-3225
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1901501-SUPV
OH
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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