Individual
MRS. ELSIE MARIE MOORE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
8901 WISCONSIN AVE, NNMC BREAST CARE CENTER BLDG 10, 4 WEST, BETHESDA, MD 20889-0001
(301) 295-6360
(301) 295-9076
Mailing address
5710 38TH AVE, HYATTSVILLE, MD 20782-3828
(301) 985-3085
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC302949
DC
Other
Enumeration date
08/16/2005
Last updated
07/08/2007
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