# MR. WILLIAM CHARLES MOORE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1548578800
- **Gender:** Man
- **Credential:** LCSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041S0200X | School Social Worker | 340061-3501 | UT | Yes |

## Other

- **Enumeration date:** 09/21/2010
- **Last updated:** 09/21/2010