Individual
MR. BRIAN ALAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1001 W 10TH ST # BU1, MIDTOWN CMHC, INDIANAPOLIS, IN 46202-2859
(317) 554-2704
Mailing address
3055 N MERIDIAN ST APT 8A, INDIANAPOLIS, IN 46208-4753
(317) 439-7727
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004108A
IN
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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