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Individual

DR. WAYNE MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LGPC

Contact information

Practice address
6323 GEORGIA AVE NW, WASHINGTON, DC 20011-1101
(202) 234-6855
Mailing address
10108 VISTA ALEGRE CT, BOWIE, MD 20721-2887
(202) 409-2227

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LGPC00918
DC
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
10/25/2021
Last updated
10/25/2021
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