Individual
MS. SANDRA EVETTE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
3640 CLAIRTON ST, WALDORF, MD 20603-7004
(410) 980-9402
(301) 374-9188
Mailing address
3640 CLAIRTON ST, WALDORF, MD 20603-7004
(410) 980-9402
(301) 374-9188
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LG200004261
DC
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/08/2007
Last updated
11/25/2025
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