Individual
SAMUEL G MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
1800 N 12TH ST, READING, PA 19604-1545
(610) 816-5728
Mailing address
4101 LYNN AVE, READING, PA 19606-9002
(484) 869-3228
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/04/2021
Last updated
08/24/2021
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