Ryiesha Moore, ASW

NPI #1093223554 in Lamont, California

Provider Information

NPI Number: 1093223554
Entity Type: Individual
Name: Ryiesha Moore, ASW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: ASW
Enumeration Date: Jan 18, 2018
Last Updated: Jan 18, 2018

Practice Location

Address: 7839 BURGUNDY AVE
City: Lamont
State: California
ZIP Code: 93241-1338
Phone: (661) 845-5100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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