BLAINE MOORE

MANSFIELD, TX
NPI1346388659
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: TX  50464)
Enumeration Date2007-02-01
Last Update Date2022-11-02
Business Address
BLAINE MOORE LCSW
1751 BROAD PARK CIR S STE 207
MANSFIELD, TX 76063-7827
Phone number: 817-914-2267
Mailing Address
BLAINE MOORE LCSW
PO BOX 2114
MANSFIELD, TX 76063-0020
Phone number: 817-914-2267
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