Moore-Dencause, Jerri Ann

Moore-Dencause, Jerri Ann is an individual health care provider with primary practice located at 1400 27Th St , Vero Beach FL 32960-0303. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Moore-Dencause, Jerri Ann can be contacted via phone (772) 257-8224.

Contact Information

Primary practice address
1400 27Th St Vero Beach FL 32960-0303
Fax: (772) 213-3157
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW 12788 Florida

Profile Details

NPI number 1023181856
LBN Legal business name Moore-Dencause, Jerri Ann
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Mar 10th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023181856 NPPES
Florida Other SW12788 STATE LICENSE

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