Doctor Name: | SARAH ELIZABETH MOORE |
NPI Number: | 1447417753 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | 10557 |
Business Practice Address: | 1585 3rd St Mcxv-dbh-sws Fort Polk, LA - 714595102 |
Business Phone Number: | 3375313272 |
Business Fax Number: | |
Mailing Address: | 1585 3rd St, FORT POLK |
State: | LA |
Postal Code: | 71459 |
Phone Number: | 3375313007 |
Fax Number: | |
NPI Enumeration Date: | 05/22/2008 |
NPI Last Update Date: | 05/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 10557 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |