Individual
MS. ELENA CA'REN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSSA, LSW
Contact information
Practice address
7031 CORPORATE WAY STE 103, DAYTON, OH 45459-4262
(937) 619-9089
Mailing address
3556 TIVOLI CT, COLUMBUS, OH 43230-5020
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S.2004637
OH
Other
Enumeration date
03/29/2020
Last updated
03/29/2020
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