JOHN MICHEAL MOORE

EAST ISLIP, NY
NPI1154635076
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  R042827-1)
Enumeration Date2010-08-03
Last Update Date2010-08-03
Business Address
Mr. JOHN MICHEAL MOORE lcsw
15 BAYVIEW AVE
EAST ISLIP, NY 11730-2401
Phone number: 631-581-2542
Mailing Address
Mr. JOHN MICHEAL MOORE lcsw
15 BAYVIEW AVE
EAST ISLIP, NY 11730-2401
Phone number: 631-581-2542
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