SHANNON DAVID MOORE

FREDERICK, MD
NPI1710734157
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2024-05-03
Last Update Date2024-05-03
Business Address
SHANNON DAVID MOORE
201 BROADWAY ST
FREDERICK, MD 21701-6695
Phone number: 240-801-7799
Mailing Address
SHANNON DAVID MOORE
16628 SHEA LN
GAITHERSBURG, MD 20877-1232
Phone number:
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