Moore, Jennifer Marie

Moore, Jennifer Marie is an individual health care provider with primary practice located at 37 Belmont Street , Brockton MA 02301. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Moore, Jennifer Marie can be contacted via phone (508) 580-4691.

Contact Information

Primary practice address
37 Belmont Street Brockton MA 02301
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1588725410
LBN Legal business name Moore, Jennifer Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Jul 8th, 2007 - about 17 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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