Individual
MADISON TAYLOR MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1100 9TH ST STE F, VIENNA, WV 26105-2176
(304) 485-0791
Mailing address
1100 9TH ST STE F, VIENNA, WV 26105-2176
(304) 485-0791
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BP00946925
WV
Other
Enumeration date
04/26/2024
Last updated
07/10/2024
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