Individual
APRIL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 220, BRIDGEPORT, WV 26330-0220
(304) 933-3073
Mailing address
2901 9TH AVE, VIENNA, WV 26105-2419
(304) 615-0443
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
AP00946261
WV
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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