Individual
MR. LEWIS S MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4126 AUTUMN LN, BIRMINGHAM, AL 35243-5209
(205) 967-3277
(205) 967-3352
Mailing address
4126 AUTUMN LN, BIRMINGHAM, AL 35243-5209
(205) 967-3277
(205) 967-3352
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1636C
AL
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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