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Individual

JUSTIN MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW, LICSW

Contact information

Practice address
453 E WONDERVIEW AVE UNIT 3, ESTES PARK, CO 80517-8926
(360) 298-8781
Mailing address
453 E WONDERVIEW AVE UNIT 3, ESTES PARK, CO 80517-8926
(360) 298-8781

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09929522
CO
1041C0700X
Clinical Social Worker
LW61560900
WA

Other

Enumeration date
04/05/2013
Last updated
08/22/2024
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