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Individual

RICHARD MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
1701 WALKUS CT, DISTRICT HEIGHTS, MD 20747-1892
(301) 785-8865
Mailing address
1701 WALKUS CT, DISTRICT HEIGHTS, MD 20747-1892
(301) 785-8865

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PRC14520
DC

Other

Enumeration date
08/29/2014
Last updated
08/29/2014
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