| Monique Rechelle Delay Moore | |
|
646 Millrun Court Macon GA 31210 | |
| (317) 809-0512 | |
| Not Available |
| Full Name | Monique Rechelle Delay Moore |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 646 Millrun Court, Macon, Georgia |
| Authorized Official Name and Position | Monique Rechelle Delay-moore (LICENSE CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 3178090512 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Monique Rechelle Delay Moore 646 Millrun Court Macon GA 31210 Ph: (317) 809-0512 | Monique Rechelle Delay Moore 646 Millrun Court Macon GA 31210 Ph: (317) 809-0512 |
| NPI Number | 1073914115 |
|---|---|
| Provider Enumeration Date | 09/09/2014 |
| Last Update Date | 09/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073914115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CSW004960 (Georgia) | Primary |
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