Individual
THOMAS MOORE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2630 SKYLARK RD, WILMINGTON, DE 19808-1634
(302) 994-8752
Mailing address
2630 SKYLARK RD, WILMINGTON, DE 19808-1634
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC04710800
NJ
Other
Enumeration date
06/27/2007
Last updated
07/08/2007
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