Individual
CARLA RAE MOORE-MCNEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
502 E CORNWALLIS DR STE N, GREENSBORO, NC 27405-5677
(336) 430-6314
(336) 285-0315
Mailing address
PO BOX 14770, GREENSBORO, NC 27415-4770
(336) 430-6314
(336) 285-0315
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C004068
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6002588
—
NC
Enumeration date
11/15/2005
Last updated
07/09/2019
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