Individual
MATTHEW MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
9901 NE 7TH AVE STE A206, VANCOUVER, WA 98685-4526
(512) 636-4780
Mailing address
12714 NE 8TH CT, VANCOUVER, WA 98685-3054
(512) 636-4780
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW61418510
WA
Other
Enumeration date
03/12/2019
Last updated
03/28/2024
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