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Individual

COLE MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
1651 3RD AVE RM 205, NEW YORK, NY 10128-3679
(212) 410-0821
Mailing address
1651 3RD AVE RM 205, NEW YORK, NY 10128-3679
(212) 410-0821

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
128026
NY

Other

Enumeration date
09/15/2025
Last updated
09/15/2025
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