CHARLESZETTA MOORE

FORT WORTH, TX
NPI1487361341
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251B00000X Case Management
Additional Taxonomies171M00000X Case Manager/Care Coordinator
171W00000X Contractor
172V00000X Community Health Worker
372600000X Adult Companion
373H00000X Day Training/Habilitation Specialist
Enumeration Date2022-11-01
Last Update Date2022-11-01
Business Address
CHARLESZETTA MOORE QMHP
4409 DISRAELI DR APT 5101
FORT WORTH, TX 76119-5851
Phone number: 817-585-0664
Mailing Address
CHARLESZETTA MOORE QMHP
5125 WICHITA ST UNIT 15407
FORT WORTH, TX 76119-2501
Phone number: