Organization
DIANA MOORE, LCSW, P.A. GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANA MOORE LCSW (DIRECTOR)
(561) 784-8060
Entity
Organization
Contact information
Practice address
10714 PELICAN DR, WELLINGTON, FL 33414-6154
(561) 784-8060
(561) 791-1805
Mailing address
10714 PELICAN DR, WELLINGTON, FL 33414-6154
(561) 784-8060
(561) 791-1805
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
SW00004046
FL
Other
Enumeration date
12/16/2007
Last updated
12/16/2007
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