Individual
CHERIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
195 W MAIN ST, SALEM, WV 26426-1229
(304) 782-3765
Mailing address
871 WOODYARD CREEK RD, WASHINGTON, WV 26181-7023
(304) 677-7239
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CP00817315
WV
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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