MRS. Carolyn Mae Moore, L.C.S.W.

NPI #1720068182 in Lebanon, Oregon

Provider Information

NPI Number: 1720068182
Entity Type: Individual
Name: MRS. Carolyn Mae Moore, L.C.S.W.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: L.C.S.W.
Enumeration Date: Jan 20, 2006
Last Updated: Mar 5, 2018

Practice Location

Address: 1600 S MAIN ST
City: Lebanon
State: Oregon
ZIP Code: 97355-3109
Phone: (541) 451-5932

Specialties & Taxonomy Codes

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

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