MR. John Micheal Moore, LCSW
NPI #1154635076 in East Islip, New York
Provider Information
- NPI Number
- 1154635076
- Entity Type
- Individual
- Name
- MR. John Micheal Moore, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Aug 3, 2010
- Last Updated
- Aug 3, 2010
Practice Location
- Address
- 15 BAYVIEW AVE
- City
- East Islip
- State
- New York
- ZIP Code
- 11730-2401
- Phone
- (631) 581-2542
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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