Individual
SHANELLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
540 55TH ST NE, WASHINGTON, DC 20019-6799
(202) 939-2030
Mailing address
5501 45TH AVE APT 509, HYATTSVILLE, MD 20781-1660
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
DC
Other
Enumeration date
08/17/2019
Last updated
08/27/2024
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