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Organization

STUART MOORE LLC

Active
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Organization

STUART MOORE LLC

Active
Other names
Stuart Moore LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STUART COLEMAN MOORE LCSW (OWNER)
(703) 386-0050
Entity
Organization

Contact information

Practice address
12050 S LAKES DR, RESTON, VA 20191-1220
(703) 386-0050
Mailing address
12050 S LAKES DR, RESTON, VA 20191-1220
(703) 386-0050
(703) 476-6013

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904003326
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1346318763
NPI
VA
Enumeration date
06/14/2018
Last updated
06/14/2018
About Stedi
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