Individual
LAURA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Contact information
Practice address
2600 CENTER ST NE, SALEM, OR 97301-2682
(503) 330-1407
Mailing address
1227 NW 7TH WAY, CAMAS, WA 98607-1839
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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