Individual
ELIZABETH ANN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
112 N BROAD ST, RM 821, PHILA, PA 19102-1510
(215) 568-0860
(215) 568-0769
Mailing address
1214 VAUCLAIN AVE, WOODLYN, PA 19094-1217
(484) 497-8031
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/03/2008
Last updated
03/03/2008
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