Individual
BROOKE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
3175 PROFESSIONAL CT, BAY CITY, MI 48706-2823
(989) 667-3377
(989) 667-9991
Mailing address
538 VENETIAN CT, BAY CITY, MI 48708-6965
(989) 948-4446
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801104918
MI
104100000X
Social Worker
Primary
6851104918
MI
247200000X
Other Technician
—
—
Other
Enumeration date
06/23/2016
Last updated
07/26/2021
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