Individual
MS. CHERYL LYNNE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2904 SUDDERTH DR, SUITE B, RUIDOSO, NM 88345
(575) 491-3300
(844) 876-6786
Mailing address
2904 SUDDERTH DR, SUITE B, RUIDOSO, NM 88345
(575) 491-3300
(844) 876-6786
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C-09946
NM
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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