Ashanti Moore, LSW

NPI #1730675281 in Kent, Ohio

Provider Information

NPI Number: 1730675281
Entity Type: Individual
Name: Ashanti Moore, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LSW
Enumeration Date: Jul 9, 2018
Last Updated: Jul 26, 2019

Practice Location

Address: 275 MARTINEL DR
City: Kent
State: Ohio
ZIP Code: 44240-4380
Phone: (330) 673-6339

Specialties & Taxonomy Codes

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

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