Individual
MRS. MELISSA L MOORE I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, PLCSW
Contact information
Practice address
1800 W 30TH ST, JOPLIN, MO 64804-1520
(417) 347-7580
(417) 347-7582
Mailing address
PO BOX 2526, 2934 MCCLELLAND BLVD, JOPLIN, MO 64803-2526
(417) 347-7580
(417) 347-7582
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2008014005
MO
Other
Enumeration date
06/09/2008
Last updated
12/08/2020
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