Individual
MISS SHENIKKA TAMSIN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1629 K ST NW, SUITE 300, WASHINGTON, DC 20006-1602
(202) 779-1828
Mailing address
3103 NAYLOR RD SE, APT 201, WASHINGTON, DC 20020-1678
(860) 916-7400
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904007631
VA
1041C0700X
Clinical Social Worker
Primary
LC50079096
DC
Other
Enumeration date
09/16/2008
Last updated
08/01/2013
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