Individual
MS. ALYSSIA J. MOORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
677 EAST MAIN STREET, SUITE A, CENTREVILLE, MI 49032
(269) 467-1000
(269) 467-3075
Mailing address
677 EAST MAIN STREET, SUITE A, CENTREVILLE, MI 49032
(269) 467-1000
(269) 467-3075
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801092835
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1708146
—
MI
Enumeration date
07/27/2012
Last updated
07/27/2012
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