Individual
JENNIFER SUE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCSP
Contact information
Practice address
2644 RIVA RD, ANNAPOLIS, MD 21401-7427
(410) 222-5000
Mailing address
1009 MEANDERING WAY, ODENTON, MD 21113-3687
(443) 995-3630
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
151836P6D8Y3
MD
Other
Enumeration date
10/21/2024
Last updated
10/29/2024
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