Individual
CHRISTIE FISHER MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6527 E MOCKINGBIRD LN, DALLAS, TX 75214-2423
(214) 208-8905
Mailing address
1703 APOLLO RD, RICHARDSON, TX 75081-3825
(214) 208-8905
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
54099
TX
Other
Enumeration date
05/19/2014
Last updated
07/20/2017
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