Individual
MADGELL MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2600 DENALI ST STE 606, ANCHORAGE, AK 99503-2754
(907) 343-9207
Mailing address
3131 ROSALIND LOOP, ANCHORAGE, AK 99507-3674
(907) 360-0403
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
120203
AK
Other
Enumeration date
06/28/2017
Last updated
06/28/2017
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