Moore, Glorist Dyan
Moore, Glorist Dyan is an sole proprietor health care provider with primary practice located at 437 Zion Rd , Egg Harbor Township NJ 08234-6904. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Moore, Glorist Dyan can be contacted via phone (609) 926-6981.Contact Information
Primary practice address
437 Zion Rd
Egg Harbor Township NJ 08234-6904
Phone: (609) 926-6981
Fax: (606) 926-6981
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44SC05286700 | New Jersey |
Profile Details
| NPI number | 1265641153 |
|---|---|
| LBN Legal business name | Moore, Glorist Dyan |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 21st, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265641153 | NPPES |
| New Jersey | MEDICAID | 34304 |
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