Individual
MRS. MELVA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
930 N MONROE ST, SPOKANE, WA 99201-2112
(509) 789-9273
(509) 444-0488
Mailing address
930 N MONROE ST, SPOKANE, WA 99201-2112
(509) 789-9297
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
60942630
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2144881
—
WA
Enumeration date
10/03/2017
Last updated
04/06/2020
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