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Individual

CHANTEL MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
882 OAKMAN BLVD, DETROIT, MI 48238-3710
(248) 434-7800
Mailing address
1913 ASHSTAN DR, COMMERCE TOWNSHIP, MI 48390-2681
(248) 434-7800

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
11/30/2023
Last updated
11/30/2023
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