Mary Moore Lcsw-C LLC

NPI #1366730103 in Annapolis, Maryland

Provider Information

NPI Number: 1366730103
Entity Type: Organization
Organization Name: Mary Moore Lcsw-C LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jul 14, 2011
Last Updated: Jan 6, 2016

Practice Location

Address: 49 OLD SOLOMONS ISLAND RD
Address 2: SUITE 200
City: Annapolis
State: Maryland
ZIP Code: 21401-3854
Phone: (410) 980-3155

Authorized Official

Name: MARY MOORE, LCSW-C
Title: OWNER
Phone: (410) 980-3155

Specialties & Taxonomy Codes

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

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