Individual
BRENT ERIC MOOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
110 CONNER DR STE 4, CHAPEL HILL, NC 27514-7044
(919) 929-2311
Mailing address
3 TIMBERCREEK CT, DURHAM, NC 27712-9530
(919) 477-8288
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P002840
NC
Other
Enumeration date
09/23/2005
Last updated
07/08/2007
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