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Individual
MATTHEW MOORE
Active
Individual
MATTHEW MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW, LCSW, LISW-CP
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
14298209-3501
UT
1041C0700X
Clinical Social Worker
17200
SC
1041C0700X
Clinical Social Worker
C017890
NC
1041C0700X
Clinical Social Worker
Primary
LW61418510
WA
Other
Enumeration date
03/12/2019
Last updated
08/07/2026
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