Lorelei Jean Moore, LLMSW
Social Worker in Marne, MI. Individual provider (NPI-1).
NPI number1720714280
StatusActive
Last updated in NPPESJul 27, 2022
Details
- NPI
- 1720714280
- Entity type
- Individual (NPI-1)
- Name
- Lorelei Jean Moore
- Credential
- LLMSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 27, 2022
- Certification date
- Jul 27, 2022
- Last updated
- Jul 27, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | – | MI | Yes |
Practice location
15146 16th AveMarne, MI 49435-9605
Phone 616-288-6970
Mailing address
15146 16th AveMarne, MI 49435-9605
Phone 616-288-6970
Other practice locations
1003 Parchment Dr Se
Grand Rapids, MI 49546-3664
Grand Rapids, MI 49546-3664
Phone 616-957-7700
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