Individual
AMY L MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
307 HIGH ST, MARYVILLE, TN 37804-5847
(865) 659-0834
(865) 379-2869
Mailing address
307 HIGH ST, MARYVILLE, TN 37804-5847
(865) 659-0834
(865) 379-2869
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW0000003838
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2024851
CIGNA BEHAVIORAL HEALTH
TN
01
—
3097277
BLUECROSS BLUESHIELD ID
TN
Enumeration date
03/10/2007
Last updated
07/08/2007
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