Stephen Roy Moore I, msw
Social Worker, Clinical in Little Rock, AR. Individual provider (NPI-1).
NPI number1619080090
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1619080090
- Entity type
- Individual (NPI-1)
- Name
- Stephen Roy Moore I
- Credential
- msw
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 17, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 117m | AR | Yes |
Practice location
4300 W 7th StLittle Rock, AR 72205-5446
Phone 501-257-5050 · Fax 501-257-5073
Mailing address
4300 W 7th StLittle Rock, AR 72205-5446
Phone 501-257-5050 · Fax 501-257-5073
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