Individual
THOMAS WILLIAM MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 N COLLINGTON AVE, BALTIMORE, MD 21231-1632
(407) 461-2960
Mailing address
100 N COLLINGTON AVE, BALTIMORE, MD 21231-1632
(407) 461-2960
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP16233
MD
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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