George J Moore, LCSW

NPI #1245517895 in Brookings, Oregon

Provider Information

NPI Number
1245517895
Entity Type
Individual
Name
George J Moore, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker
Credential
LCSW
Enumeration Date
Nov 10, 2011
Last Updated
Feb 5, 2020

Practice Location

Address
1445 SEACREST LN APT 5
State
Oregon
ZIP Code
97415-8133
Phone
(315) 876-4419

Specialties & Taxonomy Codes

Specialty
Social Worker
Social Worker - ClinicalClinical

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