Christopher J Moore, LCSW
Social Worker, Clinical in Philadelphia, PA. Individual provider (NPI-1).
NPI number1073352001
StatusActive
Last updated in NPPESMay 20, 2024
Details
- NPI
- 1073352001
- Entity type
- Individual (NPI-1)
- Name
- Christopher J Moore
- Credential
- LCSW
- Sole proprietor
- No
- Enumeration date
- May 20, 2024
- Certification date
- May 20, 2024
- Last updated
- May 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | CW024734 | PA | Yes |
Practice location
1355 S Markoe StPhiladelphia, PA 19143-3811
Phone 732-890-4141
Mailing address
1355 S Markoe StPhiladelphia, PA 19143-3811
Phone 732-890-4141
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