Individual
SHAWNEQUA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 GLENWOOD AVE, EAST ORANGE, NJ 07017-1055
(973) 561-9612
Mailing address
7 GLENWOOD AVE STE 304, EAST ORANGE, NJ 07017-1061
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06902100
NJ
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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