# DIANA MOORE, LCSW, P.A. GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477736205
- **Authorized official:** MS. DIANA MOORE LCSW (DIRECTOR)
- **Authorized official phone:** (561) 784-8060

## Contact information

- **Practice address:** 10714 PELICAN DR, WELLINGTON, FL 33414-6154
- **Practice address phone:** (561) 784-8060
- **Practice address fax:** (561) 791-1805
- **Mailing address:** 10714 PELICAN DR, WELLINGTON, FL 33414-6154
- **Mailing address phone:** (561) 784-8060
- **Mailing address fax:** (561) 791-1805

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | SW00004046 | FL | Yes |

## Other

- **Enumeration date:** 12/16/2007
- **Last updated:** 12/16/2007