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Organization
MARY MOORE LCSW-C LLC
Active
Organization
MARY MOORE LCSW-C LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY MOORE LCSW-C (OWNER)
(410) 980-3155
Entity
Organization
Contact information
Practice address
49 OLD SOLOMONS ISLAND RD, SUITE 200, ANNAPOLIS, MD 21401-3854
(410) 980-3155
(410) 266-5328
Mailing address
49 OLD SOLOMONS ISLAND RD, SUITE 200, ANNAPOLIS, MD 21401-3854
(410) 980-3155
(410) 266-5328
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/14/2011
Last updated
01/06/2016
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