Individual
MAHAYLA RAE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
510 BUTLER AVE, MARTINSBURG, WV 25405-9991
(304) 263-0811
Mailing address
106 PARALLEL LN, MARTINSBURG, WV 25404-0188
(304) 886-2036
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BP00946679
WV
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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