DAVID MOORE

GOSHEN, IN
NPI1124753918
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34007612A)
Enumeration Date2022-07-18
Last Update Date2022-07-18
Business Address
DAVID MOORE LCSW
57340 ALPHA DR
GOSHEN, IN 46528-7808
Phone number: 574-621-3229
Mailing Address
DAVID MOORE LCSW
57340 ALPHA DR
GOSHEN, IN 46528-7808
Phone number: