Individual
SARAH ELIZABETH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1585 3RD ST, MCXV-DBH-SWS, FORT POLK, LA 71459-5102
(337) 531-3272
Mailing address
1585 3RD ST, FORT POLK, LA 71459
(337) 531-3007
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
10557
TX
1041C0700X
Clinical Social Worker
Primary
3713
LA
1041C0700X
Clinical Social Worker
I-05233
NM
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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