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Shimena Renae Moore, LMSW

Social Worker in Huntsville, AL. Individual provider (NPI-1).

NPI number1497400436
StatusActive
Last updated in NPPESFeb 17, 2022

Details

NPI
1497400436
Entity type
Individual (NPI-1)
Name
Miss Shimena Renae Moore
Credential
LMSW
Sex
Female
Sole proprietor
No
Enumeration date
Feb 17, 2022
Certification date
Feb 17, 2022
Last updated
Feb 17, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker3220GALYes

Practice location

500 Markaview Rd Nw
Huntsville, AL 35805-3652

Phone 256-535-3100

Mailing address

222 Kyser Blvd Apt 9
Madison, AL 35758-2305

Phone 256-541-0947

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