Individual
EUGENIA WHITTINGTON MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
CP02943017
WV
1041C0700X
Clinical Social Worker
Primary
I0005928
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP02943017
SOCIAL WORK
WV
Enumeration date
12/18/2007
Last updated
06/22/2009
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