Individual
PATRICK R MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSW-PIP
Contact information
Practice address
1721 S 8TH ST, ABERDEEN, SD 57401-6843
(605) 377-8696
Mailing address
1721 S 8TH ST, ABERDEEN, SD 57401-6843
(605) 377-8696
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3195
SD
Other
Enumeration date
02/01/2011
Last updated
06/10/2021
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