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Organization
MOORE THERAPEUTIC AND CONSULTING SERVICES
Active
Organization
MOORE THERAPEUTIC AND CONSULTING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TYRA J MOORE LICSW, LCSW-C (CLINICAL DIRECTOR)
(571) 247-8039
Entity
Organization
Contact information
Practice address
9332 ANNAPOLIS RD, LANHAM, MD 20706-3113
(301) 710-9400
Mailing address
7605 E ARBORY CT, LAUREL, MD 20707-5527
(571) 247-8039
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14343
MD
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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