Organization
PATRICK M. MOORE, ACSW, LCSW, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY LAMPKE (ACCOUNTS MANAGER)
(765) 288-7939
Entity
Organization
Contact information
Practice address
1945 W ROYALE DR, MUNCIE, IN 47304-2265
(765) 288-7939
(765) 288-7841
Mailing address
1945 W ROYALE DR, MUNCIE, IN 47304-2265
(765) 288-7939
(765) 288-7841
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
34001741A
IN
Other
Enumeration date
06/15/2007
Last updated
08/22/2020
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