Individual
SAMANTHA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
2041 MARTIN LUTHER KING JR AVE SE, SUITE 201, WASHINGTON, DC 20020-7024
(202) 610-1444
Mailing address
815 18TH ST S, APT 410, ARLINGTON, VA 22202-2638
(203) 444-3362
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LG50079808
DC
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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