Moore, Dylan Anthony

Moore, Dylan Anthony is an individual health care provider with primary practice located at 200 N Douglas St Bldg 210 , El Segundo CA 90245-4616. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Moore, Dylan Anthony can be contacted via phone (310) 653-6448.

Contact Information

Primary practice address
200 N Douglas St Bldg 210 El Segundo CA 90245-4616
Phone: (310) 653-6448
Fax: (310) 653-6737
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW95110 California

Profile Details

NPI number 1811488034
LBN Legal business name Moore, Dylan Anthony
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2018
Last updated Jun 17th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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