MR. William Charles Moore, LCSW

NPI #1548578800 in South Salt Lake, Utah

Provider Information

NPI Number: 1548578800
Entity Type: Individual
Name: MR. William Charles Moore, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - School
Credential: LCSW
Enumeration Date: Sep 21, 2010
Last Updated: Sep 21, 2010

Practice Location

Address: 177 PRICE AVE
City: South Salt Lake
State: Utah
ZIP Code: 84115-4345
Phone: (801) 718-0187

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - School — School	1041S0200X	Primary

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