Individual
MR. STUART COLEMAN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
10560 MAIN ST STE 511B, FAIRFAX, VA 22030-7173
(703) 386-0050
(703) 476-6013
Mailing address
10560 MAIN ST STE 511B, FAIRFAX, VA 22030-7173
(703) 386-0050
(703) 476-6013
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0904003326
VA
Other
Enumeration date
12/01/2006
Last updated
10/09/2025
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