Individual
MS. CHERYL ANN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3171 N. MERIDIAN STREET, INDIANAPOLIS, IN 46208
(317) 941-5010
Mailing address
9901 OWL HOLLOW ROAD, POLAND, IN 47868
(812) 986-2487
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004950A
IN
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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