Individual
MRS. ANGELA MARIE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7600 GRAND RIVER RD, SUITE 290, BRIGHTON, MI 48114-7333
(810) 220-2787
(810) 220-2834
Mailing address
4107 AUTUMN VIEW CT, FENTON, MI 48430-9128
(810) 220-2787
(810) 220-2834
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801078057
MI
Other
Enumeration date
03/06/2013
Last updated
06/15/2013
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