MR. Fredrick Allen Moore SR., LISW
NPI #1356857650 in Travis Afb, California
Provider Information
- NPI Number
- 1356857650
- Entity Type
- Individual
- Name
- MR. Fredrick Allen Moore SR., LISW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LISW
- Enumeration Date
- Dec 21, 2017
- Last Updated
- May 1, 2023
Practice Location
- Address
- 101 BODIN CIR
- City
- Travis Afb
- State
- California
- ZIP Code
- 94535-1809
- Phone
- (707) 423-5174
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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