Individual
MISS TINA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1681 CROWN AVE, SUITE 201, LANCASTER, PA 17601-6303
(717) 399-3213
(717) 399-3543
Mailing address
138 ELMWOOD RD, APT. A, LANCASTER, PA 17602-3405
(717) 471-0812
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208367317
QUEST BEHAVIORAL HEALTH
PA
Enumeration date
11/27/2009
Last updated
06/15/2016
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