Individual
BREANNA J MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
140 W MIDDLE ST, CHELSEA, MI 48118-1293
(517) 902-4726
Mailing address
109 PARK ST, TECUMSEH, MI 49286-1229
(517) 902-4726
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851102659
MI
Other
Enumeration date
03/13/2022
Last updated
03/13/2022
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