Individual
PAUL LLOYD MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSWA
Contact information
Practice address
516 RAVENWOOD DR, INDIAN LAND, SC 29707-9690
(917) 327-8095
Mailing address
516 RAVENWOOD DR, INDIAN LAND, SC 29707-9690
(917) 327-8095
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P009359
NC
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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