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Individual

MS. JANE ANN MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW-S

Contact information

Practice address
3500 CARNEGIE AVE, CLEVELAND, OH 44115-2641
(440) 666-7738
Mailing address
11401 LORAIN AVE, CLEVELAND, OH 44111-5428
(440) 334-3801

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I10041
OH

Other

Enumeration date
02/13/2012
Last updated
11/01/2016
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