Individual
ALEXUS NACOLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSWA
Contact information
Practice address
250 EXECUTIVE PARK BLVD STE 120, WINSTON SALEM, NC 27103-1534
(336) 671-7420
Mailing address
4600 BIG TREE WAY APT 6C, GREENSBORO, NC 27409-2784
(704) 974-0654
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P020437
NC
Other
Enumeration date
05/03/2024
Last updated
06/13/2024
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