MICHELLE GLYNISE MOORE

BLUE ISLAND, IL
NPI1760649628
Former NameMICHELLE GLYNISE MOORE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy252Y00000X Early Intervention Provider Agency
Additional Taxonomies104100000X Social Worker
(Licence: IL  150107720)
1041C0700X Social Worker, Clinical
(Licence: IL  149027689)
Enumeration Date2008-05-19
Last Update Date2025-07-15
Business Address
Mrs. MICHELLE GLYNISE MOORE Early Intervention P
PO BOX 658
BLUE ISLAND, IL 60406
Phone number: 708-698-0714
Mailing Address
Mrs. MICHELLE GLYNISE MOORE Early Intervention P
246 E JANATA BLVD STE 111
LOMBARD, IL 60148-5317
Phone number: 708-698-0714