Individual
OLEISA MARIE MOOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 READING AVE, JONESVILLE, MI 49250-1136
(517) 849-2330
(517) 849-2906
Mailing address
110 READING AVE, JONESVILLE, MI 49250-1136
(517) 849-2330
(517) 849-2906
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/23/2024
Last updated
09/18/2024
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