Kevin M Moore
Kevin M Moore is a Clinical Social Worker in Lanham, Maryland. Licensed in Maryland. Registered with an NPI since 2022.
- Licensed in
- MD
- In the registry since
- 2022
Practice location Address checks out
8118 Good Luck RdLanham, MD 20706-3574
Phone: (301) 552-5187
Fax: (301) 552-8668
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 11001 (MD) |
|---|
Record details
| NPI number | 1861113342 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 5, 2022 |
| Last updated in NPPES | September 5, 2022 |
| Certification date | September 3, 2022 |
| Mailing address | 8102 Hunters Green Ct, Clinton, MD 20735-2989 |
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