Stephanie Moore, LCSW

NPI #1013682525 in Waterloo, Illinois

Provider Information

NPI Number: 1013682525
Entity Type: Individual
Name: Stephanie Moore, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: Aug 16, 2021
Last Updated: Aug 16, 2021

Practice Location

Address: 988 N ILLINOIS ROUTE 3
City: Waterloo
State: Illinois
ZIP Code: 62298-1059
Phone: (618) 939-4444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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