SAM MOORE

PHILADELPHIA, PA
NPI1720651433
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: PA  CW021918)
Enumeration Date2021-07-20
Last Update Date2021-07-20
Business Address
SAM MOORE
5906 LANGDON ST
PHILADELPHIA, PA 19149-3618
Phone number: 580-445-7432
Mailing Address
SAM MOORE
5906 LANGDON ST
PHILADELPHIA, PA 19149-3618
Phone number: 580-445-7432
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