Brandon Eugene Moore
Social Worker, Clinical in Mukilteo, WA. Individual provider (NPI-1).
NPI number1477030245
StatusActive
Last updated in NPPESJul 25, 2018
Details
- NPI
- 1477030245
- Entity type
- Individual (NPI-1)
- Name
- Brandon Eugene Moore
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 25, 2018
- Last updated
- Jul 25, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | WA | Yes |
Practice location
12303 Cyrus WaySuite 107
Mukilteo, WA 98275
Phone 425-931-5131
Mailing address
12303 Cyrus WaySuite 107
Mukilteo, WA 98275
Phone 425-931-5131
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