Individual
CLARKTON MOORE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSWA
Contact information
Practice address
4005 OLEANDER DR, WILMINGTON, NC 28403-6816
(910) 790-9949
(910) 202-9966
Mailing address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 343-0145
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P015960
NC
Other
Enumeration date
06/30/2021
Last updated
07/07/2021
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