MRS. Latise Moore
NPI #1003467796 in Charlotte, North Carolina
Provider Information
- NPI Number
- 1003467796
- Entity Type
- Individual
- Name
- MRS. Latise Moore
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Sep 24, 2019
- Last Updated
- Sep 24, 2019
Practice Location
- Address
- 9336 KINGS PARADE BLVD APT 3225
- City
- Charlotte
- State
- North Carolina
- ZIP Code
- 28273-5858
- Phone
- (757) 535-6678
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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