Individual
NEDRA N MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
844 GA HIGHWAY 33 S, MOULTRIE, GA 31788-0506
(505) 821-3628
(505) 856-7103
Mailing address
8600 ACADEMY RD NE, ALBUQUERQUE, NM 87111-1107
(505) 821-3628
(505) 856-7103
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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