Brian Alan Moore, LCSW Valid NPI
Individual provider · Clinical Social Worker · Indianapolis, IN
- NPI
- 1033236591
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 34004108A (IN)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-03-22
- Last updated
- 2007-07-08
Practice location
1001 W 10th St # Bu1, Midtown Cmhc
Indianapolis, IN 46202-2859
(317) 554-2704