Individual
WILLIAM BRIAN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSRC, CRC, CVE, CLCP
Contact information
Practice address
421 RAMBLING HILLS RD, ELKVIEW, WV 25071-9578
(304) 935-4101
Mailing address
421 RAMBLING HILLS RD, ELKVIEW, WV 25071-9578
(304) 935-4101
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WV
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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