Individual
JENNIFER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
909 VINE ST, CINCINNATI, OH 45202-1105
(513) 646-5026
Mailing address
909 VINE ST, CINCINNATI, OH 45202-1105
(513) 259-5480
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I.2102864
OH
104100000X
Social Worker
S.16000504
OH
Other
Enumeration date
11/19/2019
Last updated
03/11/2024
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