Individual
MS. CARMISHA NICOLE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
853 SAINT NICHOLAS AVE APT 503, NEW YORK, NY 10031-1158
(619) 312-3775
Mailing address
853 SAINT NICHOLAS AVE APT 503, NEW YORK, NY 10031-1158
(619) 312-3775
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
090914-01
NY
Other
Enumeration date
03/15/2021
Last updated
03/15/2021
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