MRS. Jordan Moore, LICSW

NPI #1932552478 in Somerville, Massachusetts

Provider Information

NPI Number: 1932552478
Entity Type: Individual
Name: MRS. Jordan Moore, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: Jul 20, 2016
Last Updated: Jul 20, 2016

Practice Location

Address: 40 HOLLAND ST
City: Somerville
State: Massachusetts
ZIP Code: 02144-2705
Phone: (617) 629-6000

Specialties & Taxonomy Codes

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

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