Individual
DR. JANAE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4700 BANTING COURT, FAIRFAX, VA 22032
(703) 424-0410
Mailing address
14916 SCHALL RD, ACCOKEEK, MD 20607-3133
(301) 442-3713
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002174
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0904002174
SOCIAL WORK LICENSING BOARD
VA
Enumeration date
12/18/2020
Last updated
12/18/2020
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