Individual
MRS. AMY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWA, MSW
Contact information
Practice address
313 CLIFTON ST, GREENVILLE, NC 27858-5008
(252) 353-0100
(252) 364-8117
Mailing address
302 MARTINSBOROUGH RD, GREENVILLE, NC 27858-6207
(252) 917-0545
(252) 353-0600
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P007850
NC
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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