Individual
MS. JENNIFER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9 FIELD ST, KANE, PA 16735-1322
(814) 561-1028
Mailing address
9 FIELD ST, KANE, PA 16735-1322
(181) 558-5635
(814) 313-1075
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW133268
PA
1041C0700X
Clinical Social Worker
Primary
CW020261
PA
Other
Enumeration date
12/16/2016
Last updated
07/28/2021
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