Individual
MRS. ANGELA R MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
255 E WATT ST, ALCOA, TN 37701-2236
(865) 273-1616
(865) 273-1645
Mailing address
6350 W ANDREW JOHNSON HWY, DEPARTMENT 100, TALBOTT, TN 37877-8605
(800) 355-3565
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LSW0000007550
TN
104100000X
Social Worker
P004357
NC
1041C0700X
Clinical Social Worker
Primary
5329 (LCSW)
TN
Other
Enumeration date
01/21/2009
Last updated
07/19/2016
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