Individual
TERRENCE PATRICK MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
4500 BLACK ROCK RD STE 103, HAMPSTEAD, MD 21074-2649
(877) 806-1501
Mailing address
13817 SADDLEVIEW DR, NORTH POTOMAC, MD 20878-3853
(240) 477-3022
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
31606
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/05/2023
Last updated
06/06/2024
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