Individual
MICHELLE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
435 E MAIN ST STE 200, GREENWOOD, IN 46143-1457
(317) 743-8202
Mailing address
435 E MAIN ST STE 200, GREENWOOD, IN 46143-1457
(317) 743-8202
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006275A
IN
Other
Enumeration date
06/07/2012
Last updated
12/29/2022
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