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Individual

DWAYNE E MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA OF BUSINESS ADMIN

Contact information

Practice address
3600 MARKET ST FL 6, PHILADELPHIA, PA 19104-2669
(215) 586-7600
(215) 586-7545
Mailing address
1216 ARCH ST FL 6, PHILADELPHIA, PA 19107-2835
(215) 981-0088
(215) 246-0937

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
09/09/2021
Last updated
01/25/2022
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