Individual
MR. DOUGLAS G MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 CHERRY HILL RD, BALTIMORE, MD 21230-3503
(410) 354-2800
(410) 225-5452
Mailing address
1173 HAMPTON RD, ANNAPOLIS, MD 21409-4844
(302) 607-5011
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
789
MD
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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