Jacqueline June Moore
Social Worker, Clinical in Littlestown, PA. Individual provider (NPI-1).
NPI number1083395289
StatusActive
Last updated in NPPESJul 31, 2023
Details
- NPI
- 1083395289
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline June Moore
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 31, 2023
- Certification date
- Jul 30, 2023
- Last updated
- Jul 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 04638 | MD | Yes |
Practice location
43 Ashfield DrLittlestown, PA 17340-9527
Phone 410-591-8526
Mailing address
43 Ashfield DrLittlestown, PA 17340-9527
Phone 410-591-8526
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