Dasen Moore

NPI #1235513391 in Springdale, Maryland

Provider Information

NPI Number: 1235513391
Entity Type: Individual
Name: Dasen Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jul 17, 2015
Last Updated: Jul 17, 2015

Practice Location

Address: 2810 BERRYWOOD LN
City: Springdale
State: Maryland
ZIP Code: 20774-7508
Phone: (313) 627-1495

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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