Wanda Moore's National Provider Identifier (NPI) Details
Wanda Moore, LCSWC
NPI: 1700847290
Enumeration Date: 2006-04-01
Last updated: 2007-07-08
Sole Proprietor: NO
Status: active
Postal Address: 29466 PINTAIL DR STE 9, EASTON, MD
Phone: 410-770-5140
Primary Practice Address: 29466 PINTAIL DR STE 9, EASTON, MD
Practice's phone: 410-770-5140