LISA JEANINE MOORE

SOUTHFIELD, MI
NPI1295962413
Former NameLISA JEANINE THORNTON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801078772)
Enumeration Date2009-06-15
Last Update Date2009-06-15
Business Address
Mrs. LISA JEANINE MOORE LMSW
22511 TELEGRAPH RD SUITE 101
SOUTHFIELD, MI 48033-4115
Phone number: 248-356-0540
Mailing Address
Mrs. LISA JEANINE MOORE LMSW
22511 TELEGRAPH RD SUITE 101
SOUTHFIELD, MI 48033-4115
Phone number: 248-356-0540