Individual
BRIAN LEN MOORE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3277 W SUNSET AVE, SPRINGDALE, AR 72762-4980
(479) 750-2020
(479) 756-3118
Mailing address
PO BOX 6430, SPRINGDALE, AR 72766-6430
(479) 750-2020
(479) 756-3118
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1421-C
AR
Other
Enumeration date
06/12/2006
Last updated
07/08/2007
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