Individual
MARISA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
915 PARKCENTRE WAY STE 7, NAMPA, ID 83651-1748
(208) 442-7791
(208) 442-7792
Mailing address
915 PARKCENTRE WAY STE 7, NAMPA, ID 83651-1748
(208) 442-7791
(208) 442-7792
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7381611
ID
Other
Enumeration date
05/26/2026
Last updated
05/26/2026
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