Individual
CONNOR IAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4111 SOUTHPOINT BLVD, COLUMBUS, OH 43207-4988
(614) 491-4921
Mailing address
700 BROOKSEDGE BLVD, WESTERVILLE, OH 43081-3394
(614) 882-9338
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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