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Individual

MADELINE MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LGSW

Contact information

Practice address
2831 15TH ST NW, WASHINGTON, DC 20009-4607
(202) 462-4788
Mailing address
2831 15TH ST NW, WASHINGTON, DC 20009-4607
(202) 462-4788

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
29620
MD
1041C0700X
Clinical Social Worker
Primary
LC200003699
DC

Other

Enumeration date
11/07/2022
Last updated
07/07/2025
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