| Ithaca F Moore, ASW | |
|
6991 N State St, Redwood Valley, CA 95470-9629 | |
| (707) 671-2330 | |
| Not Available |
| Full Name | Ithaca F Moore |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 6991 N State St, Redwood Valley, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821882432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | ASW127269 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ithaca F Moore, ASW Po Box 1375, Willits, CA 95490-1375 Ph: (707) 671-2330 | Ithaca F Moore, ASW 6991 N State St, Redwood Valley, CA 95470-9629 Ph: (707) 671-2330 |
Stephanie A Piekarski, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6991 N State St, Redwood Valley, CA 95470 Phone: 707-467-5612 | |
Susan M. Knopf, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6991 N State St, Redwood Valley, CA 95470 Phone: 707-485-5115 Fax: 707-485-1184 |