Sam Moore
Sam Moore is a Clinical Social Worker in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.
- Licensed in
- PA
- In the registry since
- 2021
Practice location Address checks out
5906 Langdon StPhiladelphia, PA 19149-3618
Phone: (580) 445-7432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence CW021918 (PA) |
|---|
Record details
| NPI number | 1720651433 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 20, 2021 |
| Last updated in NPPES | July 20, 2021 |
| Certification date | July 20, 2021 |
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