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Individual

ERICA MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1634 11TH ST, PORTSMOUTH, OH 45662-4526
(740) 355-7102
Mailing address
1634 11TH ST, PORTSMOUTH, OH 45662-4526
(740) 355-7102

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
QMHS
OH
104100000X
Social Worker
S.1802717
OH
1041C0700X
Clinical Social Worker
Primary
1700078
OH
171M00000X
Case Manager/Care Coordinator
CMS
OH

Other

Enumeration date
04/25/2018
Last updated
03/09/2026
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