Individual
MRS. ANTONIA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2616 S LOOP W, STE 602, HOUSTON, TX 77054-2662
(713) 349-9796
(713) 349-9796
Mailing address
3014 HAVERLING DR, PEARLAND, TX 77584-9159
(713) 349-9796
(713) 436-6859
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
35520
TX
Other
Enumeration date
04/25/2007
Last updated
12/17/2008
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