Individual
BRANDON EUGENE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12303 CYRUS WAY, SUITE 107, MUKILTEO, WA 98275
(425) 931-5131
Mailing address
12303 CYRUS WAY, SUITE 107, MUKILTEO, WA 98275
(425) 931-5131
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
WA
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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