Individual
MR. CHESTER WYN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1170 CORPORATE DR W, SUITE 110, ARLINGTON, TX 76006-6882
(817) 879-8799
(817) 633-2094
Mailing address
1817 BURR OAK ST, ARLINGTON, TX 76012-5602
(817) 879-8799
(817) 633-2094
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
50565
TX
Other
Enumeration date
10/13/2008
Last updated
10/07/2010
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