Organization
JENNIFER C MOORE MSW LCSW INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER C MOORE (OWNER/PRESIDENT)
(702) 240-8639
Entity
Organization
Contact information
Practice address
660 S GREEN VALLEY PKWY STE 140-150, HENDERSON, NV 89052-0430
(702) 240-8639
Mailing address
PO BOX 370763, LAS VEGAS, NV 89137-0763
(702) 240-8639
(702) 240-6970
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100511332
—
NV
Enumeration date
12/29/2020
Last updated
01/18/2021
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