Individual
STACY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 PITTSTON RD, FREDERICKSBURG, VA 22408-0261
(540) 361-4742
(540) 373-1464
Mailing address
2501 PITTSTON RD, FREDERICKSBURG, VA 22408-0261
(540) 361-4742
(540) 373-1464
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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