Marissa Moore

NPI #1457193617 in Benzonia, Michigan

Provider Information

NPI Number: 1457193617
Entity Type: Individual
Name: Marissa Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Jun 10, 2024
Last Updated: Jun 10, 2024

Practice Location

Address: 6051 FRANKFORT HWY STE 200
City: Benzonia
State: Michigan
ZIP Code: 49616-9651
Phone: (231) 655-3146

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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