Individual
CARLA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1345 MONROE AVE NW, GRAND RAPIDS, MI 49505-4671
(616) 210-3022
Mailing address
201 FULTON ST W APT 1015, GRAND RAPIDS, MI 49503-2671
(616) 201-3022
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851118733
MI
Other
Enumeration date
10/24/2025
Last updated
10/24/2025
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