Individual
MRS. JENNIFER L MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
150 RIVERSIDE PKWY, FREDERICKSBURG, VA 22406-1094
(540) 300-7933
Mailing address
5222 YELLOW BIRCH DR, FREDERICKSBURG, VA 22407-9336
(256) 223-2882
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904020554
VA
Other
Enumeration date
06/23/2026
Last updated
06/23/2026
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