Individual
MR. ANTHONY WAYNE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SW
Contact information
Practice address
8220 CASTOR AVENUE, PHILADELPHIA, PA 19152
(215) 754-1416
(267) 350-4887
Mailing address
8220 CASTOR AVENUE, PHILADELPHIA, PA 19152
(215) 754-1416
(267) 350-4887
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW006971L
PA
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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