Individual
CASSIDY OLIVIA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4444 8-MILE RD, 2711 OUTER DRIVE EAST, DETROIT, MI 48234
(313) 628-2028
Mailing address
4444 8-MILE RD, 2711 E OUTER DR, DETROIT MI 48234, DETROIT, MI 48234
(313) 628-2028
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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