Individual
DR. JANICE M. MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LCSW, BCD
Contact information
Practice address
332 S PROVIDENCE RD, WALLINGFORD, PA 19086-6529
(610) 566-4022
(610) 566-2360
Mailing address
332 S PROVIDENCE RD, WALLINGFORD, PA 19086-6529
(610) 891-0765
(610) 566-2360
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
44SC00595500
NJ
1041C0700X
Clinical Social Worker
Primary
CW012921
PA
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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