Sando Moore
Counselor in Pawtucket, RI. Individual provider (NPI-1).
NPI number1215316005
StatusActive
Last updated in NPPESMay 26, 2015
Details
- NPI
- 1215316005
- Entity type
- Individual (NPI-1)
- Name
- Sando Moore
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 26, 2015
- Last updated
- May 26, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
160 Beechwood AvePawtucket, RI 02860-5402
Phone 401-724-8400 · Fax 401-722-5280
Mailing address
160 Beechwood AvePawtucket, RI 02860-5402
Phone 401-724-8400 · Fax 401-722-5280
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All 77 Counselor providers in Pawtucket · All 1,697 providers in Pawtucket
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