Individual
ANDREW CHRISTOPHER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
201 MEDICAL PARK DR, DOVER, OH 44622
(330) 343-6631
Mailing address
201 MEDICAL PARK DR, DOVER, OH 44622
(330) 343-6631
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2005084
OH
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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