Individual
CARRIE JOHNSTON MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
532 SILICON DR STE 102, SOUTHLAKE, TX 76092-9018
(817) 609-4080
Mailing address
532 SILICON DR STE 102, SOUTHLAKE, TX 76092-9018
(817) 609-4080
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.0700458
OH
Other
Enumeration date
03/19/2008
Last updated
01/25/2023
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