Individual
SCOTT MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
506 6TH ST, RAPID CITY, SD 57701-2726
(314) 375-6208
Mailing address
506 6TH ST, RAPID CITY, SD 57701-2726
(314) 375-6208
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2022047477
MO
1041C0700X
Clinical Social Worker
Primary
6312
SD
Other
Enumeration date
01/18/2019
Last updated
04/11/2023
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