Individual
LATRIONNA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
414 PLAZA DR STE 301, WESTMONT, IL 60559-5508
(630) 728-1744
Mailing address
414 PLAZA DR STE 301, WESTMONT, IL 60559-5508
(630) 728-1744
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.112020
IL
Other
Enumeration date
11/21/2022
Last updated
11/03/2023
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