Individual
AMANDA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
5812 DINSMORE LN, BELMONT, NC 28012-8692
(781) 994-7525
Mailing address
340 MAIN ST STE 819, WORCESTER, MA 01608-1665
(508) 752-3969
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
217960
MA
Other
Enumeration date
04/27/2012
Last updated
10/11/2018
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