DERIK MOORE

PHILADELPHIA, PA
NPI1528490877
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: PA  CW018657)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: NJ  44SC05928700)
Enumeration Date2013-08-08
Last Update Date2024-09-02
Business Address
DERIK MOORE
230 S BROAD ST STE 1903
PHILADELPHIA, PA 19102-4121
Phone number: 267-258-1027
Mailing Address
DERIK MOORE
451 ROXBOROUGH AVE
PHILADELPHIA, PA 19128-3536
Phone number: 267-258-1027