Organization
MOORE THERAPEUTIC AND CONSULTING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TYRA MOORE LICSW, LCSW-C (CLINICAL SOCIAL WORKER)
(571) 247-8039
Entity
Organization
Contact information
Practice address
1600 MARYLAND AVE NE APT 257, WASHINGTON, DC 20002-7662
(571) 247-8039
Mailing address
1600 MARYLAND AVE NE APT 257, WASHINGTON, DC 20002-7662
(571) 247-8039
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/02/2020
Last updated
08/02/2020
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