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Organization

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Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT B MOORE LCSW (THERAPIST)
(412) 401-9641
Entity
Organization

Contact information

Practice address
1789 S BRADDOCK AVE, SUITE 350, PITTSBURGH, PA 15218-1842
(412) 401-9641
Mailing address
1137 ONONDAGO ST, PITTSBURGH, PA 15218-1123
(412) 401-9641

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CW017805
PA

Other

Enumeration date
03/26/2017
Last updated
03/26/2017
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