Individual
MR. DONALD KEITH MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SOCIAL WORKER
Contact information
Practice address
4501 S GENERAL BRUCE DR, TEMPLE, TX 76502-1469
(254) 743-1603
Mailing address
3502 BUGLE DR, KILLEEN, TX 76543-7137
(254) 291-4313
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
58027
TX
Other
Enumeration date
02/18/2015
Last updated
02/18/2015
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