Individual
MRS. SHANIKE ANTWAN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMSW
Contact information
Practice address
1327 GREENBROOK BND APT 5, MEMPHIS, TN 38134-8148
(901) 383-9792
Mailing address
1327 GREENBROOK BND APT 5, MEMPHIS, TN 38134-8148
(901) 383-9792
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0000006486
TN
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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