| NPI | 1417440397 |
|---|---|
| Former Legal Business Name | STUART MOORE LLC |
| Entity Type | Organization |
| Authorized Contact | STUART COLEMAN MOORE Owner 703-386-0050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904003326) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2018-06-14 |