Individual
JAMES PETER MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1208 E CHURCHVILLE RD STE 300, BEL AIR, MD 21014-3485
(770) 560-8986
Mailing address
6303 FRISCO SQUARE BLVD APT 477, FRISCO, TX 75034-3519
(770) 560-8986
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
28389
MD
Other
Enumeration date
05/13/2022
Last updated
05/13/2022
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