Individual
DEVON NICOLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
110 S 12TH ST, WACO, TX 76701-1810
(254) 313-6350
(254) 313-6375
Mailing address
1600 PROVIDENCE DR, WACO, TX 76707-2261
(254) 313-4200
(254) 313-4549
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
67025
TX
Other
Enumeration date
05/04/2021
Last updated
07/19/2022
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