Individual
NANNETTE C MOORER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
33 VARDEN DR, AIKEN, SC 29803-5285
(803) 642-3801
(803) 642-5538
Mailing address
33 VARDEN DR, AIKEN, SC 29803-5285
(803) 642-3801
(803) 642-5538
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
003089
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
QM0732
—
SC
Enumeration date
06/08/2005
Last updated
10/05/2011
About Stedi
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